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: DNS2176968 Name: Aaditya prashant patil
  Address: 18/A,jamnadas park,korit road, nandurbar 18/A,jamnadas park,korit road, nandurbar 18/A,jamnadas park,korit road, nandurbar
Telephone No.: Mobile no: 7741907670
E-mail: aadityapatil1693@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: 427684841
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176968 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: DNS2176968
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aaditya prashant patil
Mother's Name: Vidya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Sep 2003 Nationality: Indian
Place of Birth: Dhule Personal Identification Mark: Stiches on ear
Blood Group: O + Address for Communication: 18/A,jamnadas park,korit road, nandurbar 18/A,jamnadas park,korit road, nandurbar 18/A,jamnadas park,korit road, nandurbar
State: Maharashtra Country: India
Pin: 425412 City/District: Nandurbar
Mobile no: 7741907670 Telephone No. with STD code:
Aadhar Card No:797765172706 E-mail: aadityapatil1693@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Prashant Relationship with candidate: Father
Parents Date of Birth: 20 Jul 1973 Parent's/Guardian's Occupation/Designation: Government officer
   
Office Address:
   
Address: 18/A,jamnadas park,korit road, nandurbar 18/A,jamnadas park,korit road, nandurbar 18/A,jamnadas park,korit road, nandurbar
Country: India State: Maharashtra
City/District: Nandurbar Pin: 425412
Tel: Mobile no.: 7741907670
Fax: Email: aadityakhandekar9@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Hiriben govindadas Shroff highschool School: GTP college nandurbar
City: Nandurbar City: Nandurbar
English %: 62 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: Nandurbar
  Pin: 425412
  Contact Nos:
  Email: aadityapatil1693@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 ?: By reading books,
Why do you wish to join TMI?: For a bright future
What are your hobbies?: Playing cricket
What are your strengths?: Do my any work perfectly.
What are your weaknesses?: I dont like to waste my 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 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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