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: DNS2049574 Name: Aftab ahmed
  Address: Haryana Ambala cantt House no.three ram Krishan colony
Telephone No.: Mobile no: 9812766126
E-mail: aftabkhan14714@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 304097230
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049574 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 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: DNS2049574
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aftab ahmed
Mother's Name: Gulishta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2003 Nationality: Indian
Place of Birth: Ambala cant Personal Identification Mark: Cut on right eye
Blood Group: B + Address for Communication: Haryana Ambala cantt House no.three ram Krishan colony
State: Haryana Country: India
Pin: 133001 City/District: Ambala canty
Mobile no: 9812766126 Telephone No. with STD code:
Aadhar Card No:651829587503 E-mail: aftabkhan14714@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Naseem ahmad Relationship with candidate: Father of candidate
Parents Date of Birth: 11 Nov 1983 Parent's/Guardian's Occupation/Designation: Labour
   
Office Address:
   
Address: Haryana Ambala cantt House no 3ram Krishan colony
Country: India State: Haryana
City/District: Ambala cantt Pin: 133001
Tel: Mobile no.: 7015089247
Fax: Email: aftabkhan14714@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Haryana Board: Haryana
School: Jain girls sen. Sec.school School: Jain girls sen sec.school
City: Ambala cantt City: Ambala cantt
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: Rai market
  Pin: 133001
  Contact Nos:
  Email: aftabkhan14714@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will join coaching class for Imu cet
Why do you wish to join TMI?: Because my friends tells me that the tolani is the best institute for dns
What are your hobbies?: Boxing
What are your strengths?: Chemistry
What are your weaknesses?: Maths
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 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