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: DNS2049557 Name: SHIVAM BHATT
  Address: 72/4 TEACHERS COLONY GOVIND GARH
Telephone No.: Mobile no: 8755519679
E-mail: bhattshi9@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: 304078799
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049557 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: DNS2049557
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHIVAM BHATT
Mother's Name: KUSUM LATA BHATT
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Oct 2000 Nationality: INDIAN
Place of Birth: DEHRADUN Personal Identification Mark: TWO MOLE ON CHEST
Blood Group: B - Address for Communication: 72/4 TEACHERS COLONY GOVIND GARH
State: Uttaranchal Country: India
Pin: 248001 City/District: DEHRADUN
Mobile no: 8755519679 Telephone No. with STD code:
Aadhar Card No: E-mail: bhattshi9@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DINESH PRASAD BHATT Relationship with candidate: FATHER
Parents Date of Birth: 10 Jan 1964 Parent's/Guardian's Occupation/Designation: TEACHING
   
Office Address:
   
Address: 72/4 TEACHERS COLONY GOVIND GARH
Country: India State: Uttaranchal
City/District: DEHRADUN Pin: 248001
Tel: Mobile no.: 9897336826
Fax: Email: dineshprasadbhatt38ji@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: ISCE Board: Uttaranchal
School: CAMBRIAN HALL School: CAMBRIAN HALL
City: DEHRADUN City: DEHRADUN
English %: 66 Board Roll No./Seat No.: 6182697
Aggregate Percentage: 76 School/College Code: UT002
  Centre code: 2187326
  Address of School/College: 13,YOUNG ROAD,DEHRADUN CANTT
  Pin: 248003
  Contact Nos:
  Email: cambrianhall@vsnl.net
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 66 66
Chemistry 100 56 56
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 61
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I SPEND MY TIME BY WATCHING MOVIES,PLAYING CRICKET AND ALSO PREPARE FOR NDA EXAM.
Why do you wish to join TMI?: I HEARD FROM MY FRIENDS ONE OF THE BEST INSTITUTE FOR PRE SEA TRAINING AS WELL AS GOOD FACULTY MEMBERS.
What are your hobbies?: PLAYING CRICKET,TRAVELLING
What are your strengths?: POSITIVE THINKING,BELIEVE IN HARDWORK
What are your weaknesses?: BEING TOO HONEST
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 Class XII admit card Class XII marksheet
 
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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