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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2175426 Name: Adit Sandeep Deshmukh
  Address: Flat no. 402 Varda Gloria Mohan Nagar Co.Op Housing Society Opp of Pinewood residency Baner
Telephone No.: Mobile no: 7507533037
E-mail: dadit935@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432362979
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175426 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
Date ________________ Date ________________
 
Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

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: DNS2175426
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Adit Sandeep Deshmukh
Mother's Name: Ashwini Deshmukh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jan 2003 Nationality: Indian
Place of Birth: Aurangabad Personal Identification Mark: Scar on Left Knee
Blood Group: O + Address for Communication: Flat no. 402 Varda Gloria Mohan Nagar Co.Op Housing Society Opp of Pinewood residency Baner
State: Maharashtra Country: India
Pin: 411045 City/District: Pune
Mobile no: 7507533037 Telephone No. with STD code:
Aadhar Card No:207374281689 E-mail: dadit935@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ashwini Deshmukh Relationship with candidate: Mother
Parents Date of Birth: 19 Jun 1978 Parent's/Guardian's Occupation/Designation: HPC head
   
Office Address:
   
Address: 1st floor Tapaswi Plaza opp of Greaves Old mumbai Pune Road Akurdi Pune
Country: India State: Maharashtra
City/District: Pune Pin: 411019
Tel: Mobile no.: 9823222943
Fax: Email: deshmukh.ashwini78@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Podar International School Ambegaon School: MP junior college Pune
City: Pune City: Pune
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: shivajinagar near BMCC
  Pin: 411004
  Contact Nos: 8484883040
  Email: mpjuniorcollege@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
05/2017 cricket district level gold medal
05/2017 cricket district level silver medal
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have joined Gym Focused on building myself as an individual and made my interest in reading
Why do you wish to join TMI?: I have known TMI for years and since it is very close to my home and one of the best colleges in India. Top companies approach TMI which increases chances of sponsorship.
What are your hobbies?: cooking , reading , gardening
What are your strengths?: Hard-Smart Working , Self-confident , good phyisical strength , enthusiastic , trustworthy
What are your weaknesses?: overthinking
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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

 

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Date ________________

 
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