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: DNS2176512 Name: CHAVAN SIDDHESH SANDEEP
  Address: 10/8, SANTOSHI MATA CHAWL, HIND NAGAR, PARSHI PANCHAYAT ROAD, ANDHERI EAST, MUMBAI, MAHARSHTRA
Telephone No.: Mobile no: 7977990107
E-mail: siddheshmerchantnavy30@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: 427519473
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176512 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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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: DNS2176512
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: CHAVAN SIDDHESH SANDEEP
Mother's Name: SUVARNA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Nov 2003 Nationality: INDIAN
Place of Birth: MUMBAI Personal Identification Mark: BIRTHMARK ON FACE
Blood Group: B + Address for Communication: 10/8, SANTOSHI MATA CHAWL, HIND NAGAR, PARSHI PANCHAYAT ROAD, ANDHERI EAST, MUMBAI, MAHARSHTRA
State: Maharashtra Country: India
Pin: 400096 City/District: MUMBAI
Mobile no: 7977990107 Telephone No. with STD code:
Aadhar Card No:663536146060 E-mail: siddheshmerchantnavy30@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANDEEP RAMCHANDRA CHAVAN Relationship with candidate: FATHER
Parents Date of Birth: 28 Nov 1972 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: MSRTC, KURLA NEHRU NAGAR BUS DEPOT, MAHARSHTRA
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400024
Tel: Mobile no.: 7977990107
Fax: Email: siddheshmerchantnavy30@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: ST. BLAISE HIGH SCHOOL School: ISMAIL YUSUF COLLEGE
City: MUMBAI City: MUMBAI
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: NATWAR NAGAR, JOGESHWARI EAST, MUMBAI, MAHARSHTRA-400060
  Pin: 400060
  Contact Nos: 7977990107
  Email: siddheshmerchantnavy30@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 ?: THE INTENTION OF ME AFTER COMPLETING 12 IS TO TAKE REST AND WORK UPON THE FUTURE SCENARIO OF BUILDING CARRIER.
Why do you wish to join TMI?: i want to join this institute because it is the best institute with quality teaching and best placements.
What are your hobbies?: cooking, listening to music
What are your strengths?: MY STRENGTH IS TO BE LOYAL AND TRUTHFUL TO OTHERS. I CAN ALSO WORK UNDER PRESSURE.
What are your weaknesses?: MY WEAKNESS IS I TRUST OTHERS WITHOUT KNOWING THEM.
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 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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