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: DNS2176653 Name: Aniket sanjay garkal
  Address: Bhagwangad road Ghogaspargoan Taluka shirur kasar
Telephone No.: Mobile no: 9689875359
E-mail: anupgarkal22@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432775981
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176653 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: DNS2176653
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aniket sanjay garkal
Mother's Name: Sharda
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Feb 2004 Nationality: Indian
Place of Birth: Ujjain Personal Identification Mark: Mark on right hand
Blood Group: B + Address for Communication: Bhagwangad road Ghogaspargoan Taluka shirur kasar
State: Maharashtra Country: India
Pin: 431130 City/District: Beed
Mobile no: 9689875359 Telephone No. with STD code:
Aadhar Card No:830455412527 E-mail: anupgarkal22@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay shankar garkal Relationship with candidate: Father
Parents Date of Birth: 03 Jun 1975 Parent's/Guardian's Occupation/Designation: Zp govt techer
   
Office Address:
   
Address: Ghogaspargoan Tal shirur
Country: India State: Maharashtra
City/District: Beed Pin: 431130
Tel: Mobile no.: 9552727412
Fax: Email: anupgarkal22@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Parth public school School: Shri nibadyatya junior college
City: Pathardi City: Nandur
English %: 66 Board Roll No./Seat No.: P060152
Aggregate Percentage: 81 School/College Code: 27260810103
  Centre code: 0257
  Address of School/College: Kordgoan road nandur taluka pathardi
  Pin: 414113
  Contact Nos:
  Email: abhigarkal1010ag@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 56 56
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 69.33
English 100 61 61
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I want to travel to lots of palaces in india and i did i travel after my class 12th exam
Why do you wish to join TMI?: Because it have best infrastructure and tmi is close from my home town
What are your hobbies?: Traveling and learning general knowledge
What are your strengths?: My strength is my communication skill and my genral knowledge
What are your weaknesses?: Anger some time
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 not uploaded Class XII admit card Class XII marksheet
 
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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