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: DNS2049966 Name: Aryan Srivastava
  Address: A3-902, tower 10, purvanchal heights, zeta 1 Greater noida, Gautam buddh nagar
Telephone No.: Mobile no: 8447188420
E-mail: aryansrivastava302002@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 304869937
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049966 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: DNS2049966
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aryan Srivastava
Mother's Name: Vandana Srivastava
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Oct 2002 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: Mals
Blood Group: B + Address for Communication: A3-902, tower 10, purvanchal heights, zeta 1 Greater noida, Gautam buddh nagar
State: Uttar Pradesh Country: India
Pin: 201308 City/District: Greater Noida
Mobile no: 8447188420 Telephone No. with STD code:
Aadhar Card No:858017282836 E-mail: aryansrivastava302002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjeev Srivastava Relationship with candidate: Father
Parents Date of Birth: 06 Apr 1977 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Shop no4 Jagat farm
Country: India State: Uttar Pradesh
City/District: Greater Noida Pin: 201308
Tel: Mobile no.: 9810684976
Fax: Email: Saneevsrivastava044@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Delhi public school School: Delhii public school
City: Greater Noida City: Greater Noida
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Centre code:
  Address of School/College: Gamma-2
  Pin: 201308
  Contact Nos:
  Email: aryansrivastava27926@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
Inter school football Cricket tournament Acting and drama club Sports captain
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying the books for dns programme
Why do you wish to join TMI?: Best college for dns
What are your hobbies?: Cricket
What are your strengths?: I can handle pressure
What are your weaknesses?: None
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 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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