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 2020)
Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049780 Name: KULKARNI ARPAN ATUL
  Address: RANGOLI APT FLAT NO 7, VIKASNAGAR ,KIWALE DEHURAOD
Telephone No.: Mobile no: 7387629177
E-mail: arpanatulkulkarni@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 304414109
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049780 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 ensure that you send the following documents with your application.
  1. Write Application for Diploma in Nautical Science, Dossier ID on the envelope
  2. Print the application form duly filled
  3. Print the application summary duly signed where indicated
  4. Three identical recent passport size photographs with name & dossier id written at the back
  5. Self – attested copies of Class X marksheet and Pass Certificate
  6. Self – attested copies of Class XII marksheet and Pass Certificate (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  7. Self – attested copies of class XII marksheet downloaded from internet (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  8. Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
  9. Self – attested copy of birth certificate (for proof of age and place of birth)
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. Copy of Class XII board exam admit card for those appearing in 2020
  12. A non-refundable Demand Draft of Rs. 200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  13. Please keep a copy of the form for your reference for communicating with the Institute
Send Duly filled application forms to:

Admissions Cell (DNS)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507
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 - 2020
 
  Dossier ID: DNS2049780
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KULKARNI ARPAN ATUL
Mother's Name: SWATI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Apr 2002 Nationality: INDIAN
Place of Birth: OTUR Personal Identification Mark: NO
Blood Group: O + Address for Communication: RANGOLI APT FLAT NO 7, VIKASNAGAR ,KIWALE DEHURAOD
State: Maharashtra Country: India
Pin: 412101 City/District: PUNE
Mobile no: 7387629177 Telephone No. with STD code:
Aadhar Card No:591786871150 E-mail: arpanatulkulkarni@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ATUL KULKARNI Relationship with candidate: FATHER
Parents Date of Birth: 09 Nov 1971 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: RANGOLI APT, FLAT NO. 7 VIKASNAGAR KIWALE DEHUROAD DEHUROAD
Country: India State: Maharashtra
City/District: PUNE Pin: 412101
Tel: 0 Mobile no.: 7057495737
Fax: 0 Email: arvind.kulkarni28@yahoo.com
 

Education and Academic Record :
Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: ST. JUDE HIGHSCHOOL DEHUROAD School: SB PATIL COLLEGE OF SCIENCE AND COMMERCE
City: PUNE City: PUNE
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: RAVET
  Pin: 412101
  Contact Nos:
  Email: arpanatulkulkarni@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
09/2019 FOOTBALL ZP LEVEL DEFENDER
11/2019 CRICKET ZP ALL ROUNDER
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
03/2020 MSCIT 2 MONTHS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: WILL PREPARE FOR IMU CET, WORK ON MY PHYSICAL HEALTH AND FITNESS,
Why do you wish to join TMI?: AS I HAVE HEARD TOLANI IS ONE OF THE BEST MARINE INSTITUTE IN INDIA AND ASPIRE TO JOIN IT
What are your hobbies?: CRICKET,COLLECTING INFO ABOUT TECH
What are your strengths?: MENTALLY STRONG, PROBLEM SOLVING NATURE , UNDERSTANDING
What are your weaknesses?: EMOTIONAL
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 Class XII admit card 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