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: DNS2178992 Name: BHAMARE HARSHAL SHIRISH
  Address: PLOT NO. 18 GAT 145 JAGRUTI HOUSING SOCIETY RAMANAND NAGAR , JALGAON
Telephone No.: 9970536201 Mobile no: 9970536201
E-mail: hbhamare91@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431259956
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178992 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: DNS2178992
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BHAMARE HARSHAL SHIRISH
Mother's Name: RANJANA BHAMARE SHIRISH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Jan 2004 Nationality: Indian
Place of Birth: JALGAON Personal Identification Mark: wound mark on right leg
Blood Group: B - Address for Communication: PLOT NO. 18 GAT 145 JAGRUTI HOUSING SOCIETY RAMANAND NAGAR , JALGAON
State: Maharashtra Country: India
Pin: 425002 City/District: Jalgaon
Mobile no: 9970536201 Telephone No. with STD code: 9970536201
Aadhar Card No:406985551813 E-mail: hbhamare91@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHIRISH BHAMARE POPAT Relationship with candidate: FATHER
Parents Date of Birth: 27 Jun 1970 Parent's/Guardian's Occupation/Designation: Government servent
   
Office Address:
   
Address: BHUSAWAL RAILWAY STATION JALGAON MAHARASHTRA
Country: India State: Maharashtra
City/District: JALGAON Pin: 425201
Tel: Mobile no.: 9421520209
Fax: Email: shirishbhamare2094@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: B.G.Shanbhag Vidyalay School: SWAMI VIVEKANAD JUNIOR COLLEGE
City: JALGAON City: JALGAON
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: MJ College Rd, Shivram Nagar, Ramanand Nagar, Jalgaon, Maharashtra 425001
  Pin: 425001
  Contact Nos:
  Email: svkm@kces.in
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
04/2015 CRICKET PLAYER PLAYER
04/2016 CRICKET BEST BOWLER PLAYER
05/2017 CRICKET CAPTAIN PLAYER
10/2017 DRAWING INTERMEDIATE GRADE EXAMINATION
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
11/2017 NATIONAL ADVENTURE INSTITUTE PACHMARHI 5 DAYS
02/2019 MAHARASHTA STATE COUNCILOF VOCATIONAL TRAINING ELECTRICAL TECHNOLOGY 1 YEAR
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL JOIN GYM AND SWIMING TO MAKE MYSELF FIT AND FINE
Why do you wish to join TMI?: TMI is one of the best maritime institute for maritime training. The faculty of TMI is the best.
What are your hobbies?: CRICKET
What are your strengths?: Adaptability , versatile team player
What are your weaknesses?: I get too much into detail due to which i run short of time
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

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Date ________________

 
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