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: DNS2049975 Name: harshpreet singh khattra
  Address: near bank of india village khattra chuharam post office-khattra chuharam
Telephone No.: Mobile no: 7087065971
E-mail: khattra257@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 304988793
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049975 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: DNS2049975
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: harshpreet singh khattra
Mother's Name: gurpreet kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Sep 2002 Nationality: Indian
Place of Birth: khanna Personal Identification Mark: cut on left thiegh
Blood Group: B + Address for Communication: near bank of india village khattra chuharam post office-khattra chuharam
State: Punjab Country: India
Pin: 141118 City/District: ludhiana
Mobile no: 7087065971 Telephone No. with STD code:
Aadhar Card No:684804966650 E-mail: khattra257@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: rajinder singh Relationship with candidate: father
Parents Date of Birth: 02 Apr 1976 Parent's/Guardian's Occupation/Designation: job in private bus company
   
Office Address:
   
Address: near bank of india village-khattra chuharam post office-khattra chuharam
Country: India State: Punjab
City/District: ludhiana Pin: 141118
Tel: Mobile no.: 9814065971
Fax: Email: khattrapal777@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Punjab
School: sant isher singh ji memorial public school School: baba gurmukh singh baba uttam singh sen sec school
City: ludhiana City: khadur sahib
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Centre code:
  Address of School/College: khadur sahib to raiya road,khadur sahib,tarntaran.punjab
  Pin: 143117
  Contact Nos:
  Email: nsikhi@yahoo.in
  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 75
   
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
12/2016 hockey district first
10/2018 basketball school level second
05/2019 lecturate school level second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: by taking training of swimming and english couses
Why do you wish to join TMI?: to become an officer in merchant navy and i also like to travel
What are your hobbies?: reading novels, listening music,searching about automobliles and amazing facts
What are your strengths?: friendly,helpful
What are your weaknesses?: low confidence
How do you intend to meet the expenses of this program?: Other - my father money from his boss
 
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

 

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Date ________________

 
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