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: DNS2178529 Name: SHARAYU VINOD AMBAGADE
  Address: TELIPURA NAGAR PARDI NAGPUR MAHARASHTRA
Telephone No.: 9373844445 Mobile no: 9807699992
E-mail: sharayuambagade@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: 429647549
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178529 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: DNS2178529
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHARAYU VINOD AMBAGADE
Mother's Name: chetna
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Nov 2003 Nationality: INDIAN
Place of Birth: nagpur Personal Identification Mark: NONE
Blood Group: AB + Address for Communication: TELIPURA NAGAR PARDI NAGPUR MAHARASHTRA
State: Madhya Pradesh Country: India
Pin: 440035 City/District: nagpur
Mobile no: 9807699992 Telephone No. with STD code: 9373844445
Aadhar Card No:839299378596 E-mail: sharayuambagade@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: VINOD AMBAGADE Relationship with candidate: FATHER
Parents Date of Birth: 11 Apr 1971 Parent's/Guardian's Occupation/Designation: BUISNESS MAN
   
Office Address:
   
Address: TELIPURA NAGAR PARDI NAGPUR MAHARASHTRA
Country: India State: Madhya Pradesh
City/District: nagpur Pin: 440035
Tel: 09373844445 Mobile no.: 9373844445
Fax: Email: sharayuambagade@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: lalitha public school School: lalita public school and jr collage
City: nagpur City: nagpur
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Centre code:
  Address of School/College: ring road wardhaman nagar nagpur
  Pin: 440035
  Contact Nos: 9373844445
  Email: sharayuambagade@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 ?: exams are yet to done.
Why do you wish to join TMI?: as it is one of the best clg who provides best clg training for all the courses as well as it is having best placment ratio.
What are your hobbies?: reading and playing
What are your strengths?: my family.
What are your weaknesses?: sometimes lack of confidence
How do you intend to meet the expenses of this program?: Own Resources,Other - none
 
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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