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: DNS2049494 Name: GUPTA MANISH UMESH GEETA
  Address: c/3 karmaboomi apt jain mandir road virar west d/5 karmaboomi apt jain mandir road virar west
Telephone No.: Mobile no: 9588460262
E-mail: gmanish4126@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 303983430
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049494 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 - 2020

 
  Dossier ID: DNS2049494
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GUPTA MANISH UMESH GEETA
Mother's Name: Geeta gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Apr 2000 Nationality: INDIAN
Place of Birth: UP Personal Identification Mark: A mole on lips
Blood Group: O + Address for Communication: c/3 karmaboomi apt jain mandir road virar west d/5 karmaboomi apt jain mandir road virar west
State: Maharashtra Country: India
Pin: 401303 City/District: palghar
Mobile no: 9588460262 Telephone No. with STD code:
Aadhar Card No:854036106448 E-mail: gmanish4126@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Umesh gupta Relationship with candidate: father
Parents Date of Birth: 03 Jan 1976 Parent's/Guardian's Occupation/Designation: LIC
   
Office Address:
   
Address: d/5 karmaboomi apt jain mandir road virar west c/3 karmaboomi apt jain mandir road virar west
Country: India State: Maharashtra
City/District: palghar Pin: 401303
Tel: Mobile no.: 7263061219
Fax: Email: gogleuser200@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: st.james english high scool School: p.r.p. utkarsha
City: virar City: virar
English %: 68 Board Roll No./Seat No.: M036099
Aggregate Percentage: 62 School/College Code: 1808007
  Centre code: 2321
  Address of School/College: viva college near old viva road
  Pin: 401305
  Contact Nos:
  Email: gmanish4126@gmail.com
  Aggregate Percentage: 60
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 47 47
Chemistry 100 51 51
Mathematics 100 44 44
Physics, Chemistry & Mathematics combined Percentage: 47.33
English 100 68 68
   
IMU CET Application Number: CET19U99612  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: GETTING MORE KNOWLEDGE ABOUT INSTITUTE
Why do you wish to join TMI?: THERE IS ONE OF MY FRIEND STUDYING
What are your hobbies?: READING NOVELS
What are your strengths?: TO COMPLETE THE TASK GIVEN
What are your weaknesses?: EMOTIONAL ON SMALL THINGS
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

 

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Date ________________

 
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