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: DNS2049949 Name: lakshdeep
  Address: h.no.1334/st.no.13,gurbax colony, patiala Gurbax colony
Telephone No.: Mobile no: 9509805200
E-mail: lakshsharma566@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304836338
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049949 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: DNS2049949
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: lakshdeep
Mother's Name: paramjeet
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 May 2000 Nationality: Indian
Place of Birth: patiala Personal Identification Mark: scar near right elbow
Blood Group: O + Address for Communication: h.no.1334/st.no.13,gurbax colony, patiala Gurbax colony
State: Punjab Country: India
Pin: 147001 City/District: patiala
Mobile no: 9509805200 Telephone No. with STD code:
Aadhar Card No:478906579691 E-mail: lakshsharma566@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Balwinder sharma Relationship with candidate: father
Parents Date of Birth: 18 Oct 1966 Parent's/Guardian's Occupation/Designation: civil engineer
   
Office Address:
   
Address: h.no.1334/st.no.13,gurbax colony, patiala Gurbax colony
Country: India State: Punjab
City/District: patiala Pin: 147001
Tel: Mobile no.: 9815003620
Fax: Email: balvindersharma686@yahoo.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Punjab Board: Punjab
School: play ways senior secondary school School: play ways senior secondary school
City: Patiala City: Patiala
English %: 95 Board Roll No./Seat No.: 2018100876
Aggregate Percentage: 91 School/College Code: 0081065
  Centre code: 63040
  Address of School/College: Soda water street, Lahori gate, Patiala
  Pin: 147001
  Contact Nos:
  Email: rajdeep_pwhs@yahoo.co.in
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 70 70
Chemistry 100 84 84
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 77.67
English 75 70 93.33
   
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
06/2015 NCC state cadet
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
09/2018 STCW 13 days
09/2018 STSDSD 2 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I worked on fuel barge Pushpa as an ordinary seaman for 9 months.
Why do you wish to join TMI?: I want to join TMI as this is the best institute in India. TMI has the best faculty and with the help of them, I will be able to achieve my goals in the best way.
What are your hobbies?: swimming and cooking
What are your strengths?: punctual, hard working, work better under pressure
What are your weaknesses?: take shortcuts
How do you intend to meet the expenses of this program?: Other - salary from job
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate 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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