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: DNS2050276 Name: ROHAN GODARA
  Address: H.NO357/86, STREET NO. 16A HANUMAN MANDIR ROAD, ASHOK VIHAR PHASE-2 GURUGRAM HARYANA
Telephone No.: Mobile no: 9818871701
E-mail: rohangodara117@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305791336
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050276 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: DNS2050276
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ROHAN GODARA
Mother's Name: BOBBY GODARA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Nov 2001 Nationality: INDIAN
Place of Birth: JHAJJAR Personal Identification Mark: MOLE ON LEFT SIDE OF NOSE
Blood Group: AB + Address for Communication: H.NO357/86, STREET NO. 16A HANUMAN MANDIR ROAD, ASHOK VIHAR PHASE-2 GURUGRAM HARYANA
State: Haryana Country: India
Pin: 122001 City/District: GURGAON
Mobile no: 9818871701 Telephone No. with STD code:
Aadhar Card No:964949343485 E-mail: rohangodara117@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJ SINGH Relationship with candidate: FATHER
Parents Date of Birth: 01 Dec 1976 Parent's/Guardian's Occupation/Designation: REGIONAL MANAGER AT ECOM EXPRESS
   
Office Address:
   
Address: ECOM EXPRESS PVT. LTD. , NEAR HIRA PUBLIC SCHOOL NEW DELHI
Country: India State: Delhi
City/District: DELHI Pin: 110037
Tel: Mobile no.: 9718416880
Fax: Email: rajgodara117@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: KENDRIYA VIDHALAYA School: KENDRIYA VIDHALAYA
City: GURUGRAM City: GURUGRAM
English %: 84 Board Roll No./Seat No.: 2628769
Aggregate Percentage: 89 School/College Code: 04025
  Centre code: 2073
  Address of School/College: KENDRIYA VIDHALAYA, SECTOR-14, GURUGRAM
  Pin: 122001
  Contact Nos:
  Email: kvgurgaonno1@gmail.com
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 70 70
Mathematics 100 33 33
Physics, Chemistry & Mathematics combined Percentage: 56
English 100 66 66
   
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
03/2018 inter school swimming championship school level 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: BY IMPROVING MY SOFT SKILLS AND GAINING KNOWLEDGE ABOUT SHIPPING INDUSTRY
Why do you wish to join TMI?: BECAUSE IT IS THE TOP SHIPPING INSTITUTE
What are your hobbies?: CYCLING, SWIMMING AND READIND ABOUT OCEANOGRAPHY
What are your strengths?: POSITIVE ATTITUDE/HARDWORK, ANALYTICAL APPROACH
What are your weaknesses?: GOT QUITE IRRITATED WHEN TASKS ASSIGNED ARE NOT COMLETED ON TIME
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 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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