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: DNS2181538 Name: Ritesh Naresh Chavan
  Address: G/7,C-Wing, Gopinath Apt, Gopinath Chowk Devicha pada, Dombivli West. 421202 Kalyan,Thane,MH.
Telephone No.: Mobile no: 9324118062
E-mail: maxxop214@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432290780
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2181538 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: DNS2181538
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ritesh Naresh Chavan
Mother's Name: Suvarna
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Apr 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: None
Blood Group: O + Address for Communication: G/7,C-Wing, Gopinath Apt, Gopinath Chowk Devicha pada, Dombivli West. 421202 Kalyan,Thane,MH.
State: Maharashtra Country: India
Pin: 421202 City/District: Thane
Mobile no: 9324118062 Telephone No. with STD code:
Aadhar Card No:720673090365 E-mail: maxxop214@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Suvarna Chavan Relationship with candidate: Mother
Parents Date of Birth: 06 Jul 1977 Parent's/Guardian's Occupation/Designation: Government
   
Office Address:
   
Address: BKC Police station,Bandra East Mumbai
Country: India State: Maharashtra
City/District: Mumabi Pin: 400051
Tel: Mobile no.: 8779127414
Fax: Email: suvcha2012@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Don Bosco High School School: Shri balaji kanishth mahavidhyalay
City: Thane City: Aurangabad
English %: 54 Board Roll No./Seat No.:
Aggregate Percentage: 57 School/College Code:
  Centre code:
  Address of School/College: Shri Balaji kanishth mahavidhyalay, phulambri, Aurangabad
  Pin: 431111
  Contact Nos:
  Email: maxxop214@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 ?: Making physics and chemistry strong
Why do you wish to join TMI?: Best institute in India with best educational system
What are your hobbies?: Playing football
What are your strengths?: Maths
What are your weaknesses?: India
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

 

___________________

Date ________________

 
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