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: DNS2174692
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Chauhan Rishabh Mahendra
Mother's Name: Geeta Mahendra Chauhan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Mar 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Curly hair
Blood Group: A + Address for Communication: OPP silver bar, salt pan road,Sangam Nagar,Antophill Wadala,Mumbai
State: Maharashtra Country: India
Pin: 400037 City/District: Mumbai
Mobile no: 8108985391 Telephone No. with STD code:
Aadhar Card No:682124909614 E-mail: rcm.8108985391@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mahendra Chauhan Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1973 Parent's/Guardian's Occupation/Designation: Shipping work
   
Office Address:
   
Address: Retibandar Kalyan
Country: India State: Maharashtra
City/District: Kalyan Pin: 421202
Tel: Mobile no.: 9967752334
Fax: Email: mahendramum022@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: S.I.W.S HIGH SCHOOL School: S.I.E.S College
City: Mumbai City: Mumbai
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: Jain Society,Sion West,Mumbai
  Pin: 400022
  Contact Nos:
  Email: rcm.8108985391@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 ?: Prepare for IMUCET . If time left would love to learn another languages like French/Japanese/others
Why do you wish to join TMI?: TMI is one the best affiliated institutes in India. Sports equipment are best and many such other facilities such as proper hygiene, discipline.etc
What are your hobbies?: Playing Cricket,
What are your strengths?: Punctual, Honest
What are your weaknesses?: Trouble saying no for repuest and help,
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.