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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vennamwar Gaurav Anil
Mother's Name: Vimal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Apr 2004 Nationality: Hindu
Place of Birth: Mumbai Personal Identification Mark: A birthmark on my forehead
Blood Group: O + Address for Communication: Near Mangal Murti Hospital,D-8/14, Siddhi Soc Gorai-1, Boriwali-W Mumbai
State: Maharashtra Country: India
Pin: 400092 City/District: Mumbai
Mobile no: 8828584480 Telephone No. with STD code:
Aadhar Card No:704703142581 E-mail: gauravvennamwar447@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anil Suresh Vennamwar Relationship with candidate: Dad
Parents Date of Birth: 13 May 1975 Parent's/Guardian's Occupation/Designation: Private Service
   
Office Address:
   
Address: Near Mangal Murti Hospital, D-8/14,Siddhi Soc Gorai-, Boriwali-w Mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 400092
Tel: Mobile no.: 9220627092
Fax: Email: gauravvennamwar467@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: Year of Passing:
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School: School:
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English %: Board Roll No./Seat No.:
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Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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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