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: DNS2049564 Name: Arpit Tiwari
  Address: 1/481 Sarvoday nagar,shuklaganj,gangaghat, unnao-209861
Telephone No.: Mobile no: 8765048921
E-mail: arpit3000tiwari@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 304078690
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049564 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: DNS2049564
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Arpit Tiwari
Mother's Name: pinki tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Apr 2001 Nationality: Indian
Place of Birth: kanpur Personal Identification Mark: mole under left eye
Blood Group: O + Address for Communication: 1/481 Sarvoday nagar,shuklaganj,gangaghat, unnao-209861
State: Uttar Pradesh Country: India
Pin: 209861 City/District: unnao
Mobile no: 8765048921 Telephone No. with STD code:
Aadhar Card No:629475930881 E-mail: arpit3000tiwari@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Pradeep Kumar Tiwari Relationship with candidate: father
Parents Date of Birth: 03 Apr 1970 Parent's/Guardian's Occupation/Designation: private
   
Office Address:
   
Address: 1/481 Sarvoday nagar,shuklaganj,gangaghat, unnao-209861
Country: India State: Uttar Pradesh
City/District: unnao Pin: 209861
Tel: Mobile no.: 9450491178
Fax: Email: lordthunderdoom@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: ISCE Board: ISCE
School: Dr Virendra Swarup Public School School: Dr Virendra Swarup Public School
City: Kanpur City: kanpur
English %: 88 Board Roll No./Seat No.: 6600631
Aggregate Percentage: 94 School/College Code: 2192718006
  Centre code: 2192718
  Address of School/College: 75- Cantonment Kanpur Kanpur Nagar-208 004
  Pin: 208004
  Contact Nos:
  Email: prin.vsps@vsmt.org
  Aggregate Percentage: 93
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 95 95
Chemistry 100 86 86
Mathematics 100 93 93
Physics, Chemistry & Mathematics combined Percentage: 91.33
English 100 92 92
   
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
07/2017 INTER SCHOOL CREATIVE WRITING COMPETITION KANPUR ZONE NIL
08/2016 INTER SCHOOL FOOTBALL TOURNAMENT NORTH ZONE ZONAL 3
07/2018 INTER SCHOOL FOOTBALL TOURNAMENT NORTH ZONE ZONAL 4
08/2017 INTER SCHOOL FOOTBALL TOURNAMENT NORTH ZONE ZONAL 2
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: going through my novels,preparing for competitive exams,playing fooball
Why do you wish to join TMI?: TMI offers top notch maritime education with world class standards
What are your hobbies?: reading novels,football freestyling,video editing
What are your strengths?: cooperation,adaptability,sense of responsibility,born leader
What are your weaknesses?: bit shy and introvert, slightly critical,
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 not uploaded Class XII admit card not uploaded 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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