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: DNS2179890 Name: Shreyas Harishchandra Makre
  Address: B/11, Pratap Nagar 2 Vimal dairy lane Bhayandar east
Telephone No.: Mobile no: 9702901427
E-mail: varshamakre4@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430953889
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179890 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: DNS2179890
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shreyas Harishchandra Makre
Mother's Name: Varsha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Jun 2003 Nationality: Indian
Place of Birth: Mahim Personal Identification Mark: Birth mark on stomach
Blood Group: A + Address for Communication: B/11, Pratap Nagar 2 Vimal dairy lane Bhayandar east
State: Maharashtra Country: India
Pin: 401105 City/District: Bhayandar
Mobile no: 9702901427 Telephone No. with STD code:
Aadhar Card No:242496099456 E-mail: varshamakre4@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Harishchandra Makre Relationship with candidate: Father
Parents Date of Birth: 06 Jun 1970 Parent's/Guardian's Occupation/Designation: Government servant
   
Office Address:
   
Address: SSC, Pratiksha bhavan Churgate East
Country: India State: Maharashtra
City/District: Bhayandar Pin: 401105
Tel: Mobile no.: 9146475278
Fax: Email: SHREYASMAKRE01@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Sardar Vallabhbhai Patel vidyalaya School: Sardar Vallabhbhai Patel junior college
City: Mira road City: Dahisar
English %: 58 Board Roll No./Seat No.:
Aggregate Percentage: 66 School/College Code:
  Centre code:
  Address of School/College: Sardar Vallabhbhai Patel junior college, Dahisar east
  Pin: 401107
  Contact Nos:
  Email: shreyasmakre01@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 ?: I will be focusing for my imucet and my fitness
Why do you wish to join TMI?: To have best knowledge under best guidance.
What are your hobbies?: Running,gym,and reading books
What are your strengths?: I learn properly whatever anybody teachs me
What are your weaknesses?: I just fear of losing
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

 

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Date ________________

 
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