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: DNS2181313 Name: HODEKAR ZAYAN ABDUL GAFUR
  Address: 1378 AKIB MANZIL UDYAMNAGAR PADVEKAR COLONY
Telephone No.: 9424290029 Mobile no: 7038798886
E-mail: zayanhodekar1394@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: 432137837
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2181313 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2181313
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HODEKAR ZAYAN ABDUL GAFUR
Mother's Name: ASMA HODEKAR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Mar 2004 Nationality: INDIAN
Place of Birth: RATNAGIRI Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: AB + Address for Communication: 1378 AKIB MANZIL UDYAMNAGAR PADVEKAR COLONY
State: Maharashtra Country: India
Pin: 415639 City/District: RATNAGIRI
Mobile no: 7038798886 Telephone No. with STD code: 9424290029
Aadhar Card No: E-mail: zayanhodekar1394@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ABDUL GAFUR HODEKAR Relationship with candidate: FATHER
Parents Date of Birth: 09 Oct 1979 Parent's/Guardian's Occupation/Designation: SEAFARER
   
Office Address:
   
Address: Ims shipping company Oposite kc college
Country: India State: Maharashtra
City/District: Mumbai Pin: 400020
Tel: Mobile no.: 9022221403
Fax: Email: zayanhodekar1394@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Sacred heart convent high school School: Abhiyankar kulkarni jr college of science
City: RATNAGIRI City: RATNAGIRI
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Centre code:
  Address of School/College: Near ratnagiri distric court advocate mv joshi road
  Pin: 415612
  Contact Nos:
  Email: gjcrtn@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
12/2018 Mini foot ball State level Goal keeper
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning about basic works carried out onboard Spending time with my family And learning new skills
Why do you wish to join TMI?: TMI IS ONE OF THE REPUTED INSTITUTE IN INDIA
What are your hobbies?: Playing football
What are your strengths?: Being calm in any situation and solving problems
What are your weaknesses?: Nervousness about public speaking
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

 

___________________

Date ________________

 
Print Summary and Application Form