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: DNS2177937 Name: VISHWAKARMA CHANDAN JITENDRA
  Address: RN-2 , POOJA NIWAS, PANCHAMBA, ACHOLE ROAD, NALLASOPARA EAST, VASAI-VIRAR, PALGHAR
Telephone No.: 09834025908 Mobile no: 9834025908
E-mail: chandanvish268@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 430841232
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177937 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: DNS2177937
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VISHWAKARMA CHANDAN JITENDRA
Mother's Name: MALTI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Aug 2002 Nationality: INDIAN
Place of Birth: BHADOHI Personal Identification Mark: Cut at right eyebrow
Blood Group: B + Address for Communication: RN-2 , POOJA NIWAS, PANCHAMBA, ACHOLE ROAD, NALLASOPARA EAST, VASAI-VIRAR, PALGHAR
State: Maharashtra Country: India
Pin: 401209 City/District: Mumbai
Mobile no: 9834025908 Telephone No. with STD code: 09834025908
Aadhar Card No:647666483684 E-mail: chandanvish268@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JITENDRA HARIHAR VISHWAKARMA Relationship with candidate: FATHER
Parents Date of Birth: 24 Feb 1972 Parent's/Guardian's Occupation/Designation: Private job
   
Office Address:
   
Address: 101,HITEX INDUSTRIAL ESTATE, COMPOUND OF VERDHAMAN IND. ESTATE, S.V ROAD, BEHIND PETROL PUMP, DAHISAR EAST
Country: India State: Maharashtra
City/District: Mumbai Pin: 400068
Tel: Mobile no.: 9665547893
Fax: Email: jituvishwa96655@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Maharashtra
School: Scholers Academy school School: Holy family convent High school Jr college
City: Varanasi City: VASAI
English %: 70 Board Roll No./Seat No.: M035694
Aggregate Percentage: 70 School/College Code: 1808013
  Centre code: 2296
  Address of School/College: opposite to jodhpur, Evershine City, Vasai East, Vasai-Virar, Maharashtra 401208
  Pin: 401208
  Contact Nos:
  Email: hfjc1999@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 50 50
Chemistry 100 55 55
Mathematics 100 91 91
Physics, Chemistry & Mathematics combined Percentage: 65.33
English 100 52 52
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study book, prepare of imucet exam, sport, and prepare for sponsorship exam
Why do you wish to join TMI?: I wish to join TMI because college infrastructure are so good and study environment are so good and placement record are so good
What are your hobbies?: Playing cricket
What are your strengths?: Believe at myself
What are your weaknesses?: Singing
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
 
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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