Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
  Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ishita Narendra Katudia
Mother's Name: Anita
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Sep 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: hand
Blood Group: AB + Address for Communication: 1302,Vrajdham Behind kala hanuman mandir,Sainagar Kandivali
State: Maharashtra Country: India
Pin: 400067 City/District: Mumbai
Mobile no: 9867191609 Telephone No. with STD code: 09867191609
Aadhar Card No:945341248916 E-mail: ikatudia@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Narendra Relationship with candidate: Father
Parents Date of Birth: 20 Apr 1971 Parent's/Guardian's Occupation/Designation: Civil Contracter
   
Office Address:
   
Address: 1302,Vrajdham Behind kala hanuman mandir,Sainagar Kandivali
Country: India State: Maharashtra
City/District: Mumbai Pin: 400067
Tel: 09867191609 Mobile no.: 9869108935
Fax: Email: ikatudia@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: St.Annes High School School: Prakash college
City: Mumbai City: Mumbai
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: 1302,Vrajdham Behind kala hanuman mandir,Sainagar Kandivali
  Pin: 400067
  Contact Nos: 09867191609
  Email: ikatudia@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Researching about Marines,Getting to know more about it
Why do you wish to join TMI?: Since it is one of the best colleges for Marines
What are your hobbies?: Trekking,Painting
What are your strengths?: Can do manual work,like lifting
What are your weaknesses?: Gaming
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded School leaving certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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