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: DNS2176203 Name: rishikesh shailendra gajarlawar
  Address: PA 2/1, Deepnagar, Nimbhore budhruk, bhusawal, jalgaon kirad pura, gandhi chowk, sadar, nagpur PA 2/1, Deepnagar, Nimbhore budhruk, bhusawal, jalgaon
Telephone No.: Mobile no: 9970116383
E-mail: rishigajarlawar@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 426910870
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176203 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: DNS2176203
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: rishikesh shailendra gajarlawar
Mother's Name: uma gajarlawar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Nov 2003 Nationality: Indian
Place of Birth: nagpur Personal Identification Mark: scar on chest
Blood Group: A + Address for Communication: PA 2/1, Deepnagar, Nimbhore budhruk, bhusawal, jalgaon kirad pura, gandhi chowk, sadar, nagpur PA 2/1, Deepnagar, Nimbhore budhruk, bhusawal, jalgaon
State: Maharashtra Country: India
Pin: 425307 City/District: jalgaon
Mobile no: 9970116383 Telephone No. with STD code:
Aadhar Card No:683668366421 E-mail: rishigajarlawar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: shailendra gajarlawar Relationship with candidate: father
Parents Date of Birth: 25 Apr 1971 Parent's/Guardian's Occupation/Designation: engineer
   
Office Address:
   
Address: PA 2/1, Deepnagar, Nimbhore budhruk, bhusawal, jalgaon kirad pura, gandhi chowk, sadar, nagpur PA 2/1, Deepnagar, Nimbhore budhruk, bhusawal, jalgaon
Country: India State: Maharashtra
City/District: jalgaon Pin: 425307
Tel: Mobile no.: 8275534943
Fax: Email: shailgajar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: bhartiya krishna vidya vihar School: podar international school
City: nagpur City: jalgaon
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: 68/1,aklud,bhuswal,yawal road, tapi river bridge section, kathore pr. savada, maharashtra, 4255501
  Pin: 425501
  Contact Nos: 2582327789
  Email: admission@podar.org
  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 ?: since the current situation doesnt permit to travel, my plans would be exploring different opportunities for self growth and introspection
Why do you wish to join TMI?: i personally feel that i would get to explore more opportunities in your college that will help me in my personal growth. TMI has been ranked no. 1 in the field of merchant navy and i would like to get prestigious knowledge from the university. i am also fascinated by the idea of taking practical knowledge from the dummy ship in your college
What are your hobbies?: playing football and learning new musical instruments like tabla and guitar
What are your strengths?: i am determined and a quick learner, having optimistic view towards life, i also portray discipline and teamwork qualities
What are your weaknesses?: i have poor communication skills but i am working on it
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate 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 ________________

 
Print Summary and Application Form