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: DNS2180058 Name: Shelke Shivam Sanjay
  Address: Sr no. 2 Gaikwad Nagar , Dighi Pune- 15
Telephone No.: Mobile no: 9767314890
E-mail: shvmshlk7@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431272667
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2180058 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: DNS2180058
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shelke Shivam Sanjay
Mother's Name: Sunita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Dec 2002 Nationality: Indian
Place of Birth: latur Personal Identification Mark: none
Blood Group: A + Address for Communication: Sr no. 2 Gaikwad Nagar , Dighi Pune- 15
State: Maharashtra Country: India
Pin: 411015 City/District: Pune
Mobile no: 9767314890 Telephone No. with STD code:
Aadhar Card No:216601397075 E-mail: shvmshlk7@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Shelke Relationship with candidate: Father
Parents Date of Birth: 07 Jun 1971 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Shivajinagar Pune-15 Pune- 15
Country: India State: Maharashtra
City/District: Pune Pin: 411015
Tel: Mobile no.: 9011041198
Fax: Email: sanjay7shelke@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya BEG School: Kendriya Vidyalaya BEG
City: Pune City: Pune
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Centre code:
  Address of School/College: Yerwada,Pune
  Pin: 411006
  Contact Nos: 9011041198
  Email: shvmshlk7@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2016 Football Inter School Competition 1
12/2018 Football Inter School Competition 1
12/2017 Football Inter School Competition 3
02/2017 kho kho Inter School Competition 2
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: spending some free time and learning new things .
Why do you wish to join TMI?: because its the best college near my home , and I read about this college online.
What are your hobbies?: playing football , watching movies
What are your strengths?: Patience , flexibility
What are your weaknesses?: I feel that my management skills could be stronger, and I am constantly working to improve them
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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