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: Prathmesh Ramesh Shende
Mother's Name: Minakshi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jun 2002 Nationality: Indian
Place of Birth: Arvi Personal Identification Mark: Mole on chest
Blood Group: O + Address for Communication: Gurmule Layout, Ward no. 17, Narkhed Behind Bus stand Near OM NARAYAN SABAHGRUH
State: Maharashtra Country: India
Pin: 441304 City/District: Nagpur
Mobile no: 8380927083 Telephone No. with STD code:
Aadhar Card No:725333417163 E-mail: prshende00@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ramesh Shende Relationship with candidate: Son
Parents Date of Birth: 02 Aug 1970 Parent's/Guardian's Occupation/Designation: Professor
   
Office Address:
   
Address: Gurmule Layout, Ward no. 17, Narkhed Behind Bus stand Near OM NARAYAN SABAHGRUH
Country: India State: Maharashtra
City/District: Nagpur Pin: 441304
Tel: Mobile no.: 9423601723
Fax: Email: rkshende70@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Eklavya Scholars Sawargoan School: Bwales Maretime Defence Academy
City: Nagpur City: Nagpur
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: Gurmule Layout, Ward no. 17, Narkhed Behind Bus stand Near OM NARAYAN SABAHGRUH
  Pin: 441304
  Contact Nos: 09423601723
  Email: rkshende70@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 ?: I will join MS-CIT classes and other classes
Why do you wish to join TMI?: To get best placement for my job
What are your hobbies?: playing outdoors Games
What are your strengths?: mind
What are your weaknesses?: fhc
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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