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: DNS2177309 Name: NIRDOSH P JADHAV
  Address: LOHA TANDA POST OFFICE LOHA MANDWA LOHA TANDA HADGAON NANDED MAHARASHTRA
Telephone No.: Mobile no: 7887609139
E-mail: nirdoshjadhav2004@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177309 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: DNS2177309
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NIRDOSH P JADHAV
Mother's Name: SINDHU JADHAV
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 May 2004 Nationality: INDIAN
Place of Birth: MAHARASHTRA Personal Identification Mark: BLACK MOLE ON CHICK
Blood Group: B + Address for Communication: LOHA TANDA POST OFFICE LOHA MANDWA LOHA TANDA HADGAON NANDED MAHARASHTRA
State: Maharashtra Country: India
Pin: 431712 City/District: NANDED
Mobile no: 7887609139 Telephone No. with STD code:
Aadhar Card No:254308940921 E-mail: nirdoshjadhav2004@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRAKASH JADHAV Relationship with candidate: FATHER
Parents Date of Birth: 15 Jul 1975 Parent's/Guardian's Occupation/Designation: DEFENCE SERVICE
   
Office Address:
   
Address: CTC 3 CRPF CAMP MUDKHED CTC 3 CRPF CAMP MUDKHED NANDED NANDED MAHARASHTRA
Country: India State: Maharashtra
City/District: NANDED Pin: 431806
Tel: Mobile no.: 9284598189
Fax: Email: prakashjadhav981272075@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KENDRIYA VIDYALAYA CRPF MUDKHED NANDED MR School: KENDRIYA VIDYALAYA CRPF MUDKHED NANDED
City: NANDED City: NANDED
English %: 61 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: CTC 3 CRPF CAMP MUDKHED NEAR MAIN ROAD UMRI
  Pin: 43180m
  Contact Nos:
  Email: mudkhedkv@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 ?: My intention after completing my schooling of XII standard give abig relaxation relax for a while and then eventually to take rest and work upon the scenarious of building a career
Why do you wish to join TMI?: TMI had a good placement record in reputed shippings companies
What are your hobbies?: Playing Games, Reading books
What are your strengths?: Leadership, writtings skill
What are your weaknesses?: I focus too much on the details
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 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

 

___________________

Date ________________

 
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