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: DNS2049991 Name: Tapan Lakhanpal
  Address: Vill. Ghalol PO Dhaneta TEH. Nadaun distt. Hamirpur
Telephone No.: Mobile no: 8988718499
E-mail: tapanlakhanpal@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304956201
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049991 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: DNS2049991
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Tapan Lakhanpal
Mother's Name: Suman Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Oct 2001 Nationality: Indian
Place of Birth: Dhaneta Personal Identification Mark: Mark on left eyebrow
Blood Group: O + Address for Communication: Vill. Ghalol PO Dhaneta TEH. Nadaun distt. Hamirpur
State: Himachal Pradesh Country: India
Pin: 177041 City/District: Hamirpur
Mobile no: 8988718499 Telephone No. with STD code:
Aadhar Card No: E-mail: tapanlakhanpal@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Chander Shekhar Lakhanpal Relationship with candidate: Father
Parents Date of Birth: 12 Sep 1974 Parent's/Guardian's Occupation/Designation: govt. employee
   
Office Address:
   
Address: CHC Galore P.O. Galore TEH. Galore
Country: India State: Himachal Pradesh
City/District: Hamirpur Pin: 177026
Tel: Mobile no.: 9418082298
Fax: Email: lakhanpalchandershekhar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Himachal Pradesh
School: Sainik School Sujanpur Tira School: ASSD Public School Gawalpather
City: Hamirpur City: Hamirpur
English %: 76 Board Roll No./Seat No.: 1941562012
Aggregate Percentage: 70 School/College Code: 1562
  Centre code: 1466
  Address of School/College: V.P.O Gawalpather teh. Nadaun distt. Hamirpur
  Pin: 177041
  Contact Nos:
  Email: assd.gwalpather@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 67 67
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 65.67
English 100 66 66
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: gaining knowledge
Why do you wish to join TMI?: Best college
What are your hobbies?: listening music
What are your strengths?: dedication to do any work
What are your weaknesses?: Sleeping
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
 
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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