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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Karle Rushikesh Rajendra
Mother's Name: Pushpa Karle
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: Indian
Place of Birth: Rahuri Personal Identification Mark: Mol on stomach
Blood Group: A + Address for Communication: Shramasafalya Niwas Opp lahuti bungalow At post nangalwadi midc mahad Raigad 402309
State: Maharashtra Country: India
Pin: 402309 City/District: Raigad
Mobile no: 8788551730 Telephone No. with STD code:
Aadhar Card No:748722948214 E-mail: rutujakarle7102001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Karle Rajendra Relationship with candidate: Father
Parents Date of Birth: 05 Jul 1971 Parent's/Guardian's Occupation/Designation: Private service
   
Office Address:
   
Address: Shramasafalya Niwas Opp lahuti bungalow At post nangalwadi midc mahad Raigad 402309
Country: India State: Maharashtra
City/District: Raigad Pin: 402309
Tel: Mobile no.: 7822946353
Fax: Email: rutujakarle7102001@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Samarth Ramdas vidyalaya School: MMCC
City: Mahad City: Pune
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: Deccan gymkhana haveli Pune
  Pin: 411004
  Contact Nos:
  Email: mmccedu@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
07/2018 Kabaddi Taluka level Second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing cricket
Why do you wish to join TMI?: Merchant Navy is my dream
What are your hobbies?: Playing cricket
What are your strengths?: Sports
What are your weaknesses?: Not specific
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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

 

___________________

Date ________________

 
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