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: DNS2177858 Name: PARTH SUSHANT BARHANPURE
  Address: 86 Mahatma Gandhi Nagar Hudkeshwar Road nagpur Mahatma Gandhi Nagar
Telephone No.: 9921442878 Mobile no: 9921442878
E-mail: parthsbarhanpure@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 428574675
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177858 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: DNS2177858
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PARTH SUSHANT BARHANPURE
Mother's Name: Godavari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Sep 2002 Nationality: Indian
Place of Birth: Nagpur Personal Identification Mark: Mole on middle finger of left hand
Blood Group: B + Address for Communication: 86 Mahatma Gandhi Nagar Hudkeshwar Road nagpur Mahatma Gandhi Nagar
State: Maharashtra Country: India
Pin: 440034 City/District: Nagpur
Mobile no: 9921442878 Telephone No. with STD code: 9921442878
Aadhar Card No:997538067035 E-mail: parthsbarhanpure@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sushant Barhanpure Relationship with candidate: Father
Parents Date of Birth: 12 Jun 1970 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Shaniwari , Cotton Market Subhash Rd Cotton Market,Imamwada,Nagpur
Country: India State: Maharashtra
City/District: Nagpur Pin: 440018
Tel: 7709885522 Mobile no.: 7709885522
Fax: Email: barhanpure7607@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Maharashtra
School: Montfort School School: Major Hemant Jakate
City: Nagpur City: Nagpur
English %: 76 Board Roll No./Seat No.: N032541
Aggregate Percentage: 67 School/College Code: 0601122
  Centre code: 0354
  Address of School/College: Mhalgi Nagar
  Pin: 440034
  Contact Nos:
  Email: parthsbarhanpure@gmail.com
  Aggregate Percentage: 59
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 57 57
Chemistry 100 61 61
Mathematics 100 54 54
Physics, Chemistry & Mathematics combined Percentage: 57.33
English 100 80 80
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2014 Skipping Divison 3rd position
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing class XII exams and before joining college I would like to do part time in a pharmacy shop so that I would learn the usages of a particular drug and learn how to do business
Why do you wish to join TMI?: I wish to join TMI because it would help me in shaping my future and also will make a responsible person and for that TMI will be the best college for me
What are your hobbies?: cooking ,travelling and playing volleyball
What are your strengths?: Time management , Patience
What are your weaknesses?: easily manipulated
How do you intend to meet the expenses of this program?: Own Resources,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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