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: DNS2049664 Name: SHREYAS TYAGI
  Address: H.NO-E-201 GROUND FLOOR PATEL NAGAR2 H.N0 -E 201 GROUND FLOOR PATEL NAGAR2
Telephone No.: Mobile no: 8860877703
E-mail: ststst994@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: 304186456
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049664 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: DNS2049664
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHREYAS TYAGI
Mother's Name: NEELAM TYAGI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jun 2002 Nationality: INDIAN
Place of Birth: MEERUT Personal Identification Mark: NO
Blood Group: B + Address for Communication: H.NO-E-201 GROUND FLOOR PATEL NAGAR2 H.N0 -E 201 GROUND FLOOR PATEL NAGAR2
State: Uttar Pradesh Country: India
Pin: 201001 City/District: GHAZIABAD
Mobile no: 8860877703 Telephone No. with STD code:
Aadhar Card No:249491428140 E-mail: ststst994@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHISHIR TYAGI Relationship with candidate: FATHER
Parents Date of Birth: 03 Nov 1972 Parent's/Guardian's Occupation/Designation: SELF EMPLOYED
   
Office Address:
   
Address: H.NO-E-201 GROUND FLOOR PATEL NAGAR2 E-201 PATEL NAGAR2
Country: India State: Uttar Pradesh
City/District: GHAZIABAD Pin: 201001
Tel: Mobile no.: 7048931016
Fax: Email: ststst994@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: SILVER LINE PRESTIGE SCHOOL School: CH.CHHABIL DASS PUBLIC SCHOOL
City: GHAZIABAD City: GHAZIABAD
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: B- BLOCK PATEL NAGAR-2 GHAZIABAD
  Pin: 201001
  Contact Nos: 01202831485,01202856952
  Email: ccdps@rediffmail.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
05/2018 FOOTBALL INTER SCHOOL DEFENDER
12/2016 BASKETBALL INTER SCHOOL SILVER
10/2015 BASKETBALL INTER SCHOOL GOLD
01/2014 TABLE TENNIS INTER SCHOOL SILVER
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL DO PREPARATION FOR IMUCET EXAM
Why do you wish to join TMI?: TMI IS A RENOWNED AND REPUTED INSTITUTE
What are your hobbies?: ENGLISH MUSIC N DANCE
What are your strengths?: POSITIVE ATTITUDE AND SELF CONFIDENT
What are your weaknesses?: EASILY FAITH ON OTHERS
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 Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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