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: DNS2183009
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PRANAV RAVINDRA JADHAV
Mother's Name: PRATIBHA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Feb 2004 Nationality: INDIAN
Place of Birth: SHIRPUR Personal Identification Mark: MOLE ON NOSE
Blood Group: B + Address for Communication: NEAR,NEW TAHSIL OFFICE SHIRPUR 425405 DHULE
State: Maharashtra Country: India
Pin: 425405 City/District: DHULE
Mobile no: 7972956126 Telephone No. with STD code:
Aadhar Card No:729329422197 E-mail: pranavrajput8888@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAVINDRA NAMDEV JADHAV Relationship with candidate: FATHER
Parents Date of Birth: 09 Nov 1976 Parent's/Guardian's Occupation/Designation: BUSINESS MAN
   
Office Address:
   
Address: TEXTILE PARK DAHIVAD SHIRPUR
Country: India State: Maharashtra
City/District: DHULE Pin: 425405
Tel: Mobile no.: 9922625897
Fax: Email: pranavrajput8888@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: R C PATEL MARATHI SECONDRAY SCHOOL SHIRPUR School: RC PATEL
City: DHULE City: DHULE
English %: 62 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: RC PATEL ENGLISH MEDIUM JR COLLEGE NEAR NIMZARI RASIKLAL PATEL NAGAR SHIRPUR
  Pin: 425405
  Contact Nos: 09922625897
  Email: pranavrajput8888@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
05/2021 HANDBALL DISTRICT NO
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: TRAVEL
Why do you wish to join TMI?: WANT TO BE A MARINER
What are your hobbies?: PLAYING HANDBALL
What are your strengths?: FAMILY
What are your weaknesses?: OVERTHINKING
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.