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: DNS2050334 Name: PARTH KATARIYA
  Address: 7,JEEVAN KUTI KANDAI ROAD
Telephone No.: Mobile no: 7060941195
E-mail: parthkatariya6@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 306004035
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050334 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: DNS2050334
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PARTH KATARIYA
Mother's Name: DEEPA KATARIYA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Apr 2000 Nationality: INDIAN
Place of Birth: PAURI Personal Identification Mark: mole on left toe
Blood Group: B + Address for Communication: 7,JEEVAN KUTI KANDAI ROAD
State: Uttaranchal Country: India
Pin: 246001 City/District: PAURI GARHWAL
Mobile no: 7060941195 Telephone No. with STD code:
Aadhar Card No: E-mail: parthkatariya6@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ASHISH KATARIYA Relationship with candidate: FATHER
Parents Date of Birth: 28 Jun 1973 Parent's/Guardian's Occupation/Designation: Sales officer in marketing
   
Office Address:
   
Address: 7,JEEVAN KUTI KANDAI ROAD
Country: India State: Uttaranchal
City/District: PAURI GARHWAL Pin: 246001
Tel: Mobile no.: 9412019705
Fax: Email: ashishkatariya3@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: ISCE Board: CBSE
School: St.Thomas School School: BR MODERN SCHOOL
City: PAURI GARHWAL City: PAURI GARHWAL
English %: 83 Board Roll No./Seat No.: 5829120
Aggregate Percentage: 86 School/College Code: NO
  Centre code: NO
  Address of School/College: NEAR AGENCY CHOWK,PAURI GARHWAL
  Pin: 246001
  Contact Nos:
  Email: brmodern68@gmail.com
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 69 69
Mathematics 100 93 93
Physics, Chemistry & Mathematics combined Percentage: 78.33
English 100 75 75
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I Started doing part time job
Why do you wish to join TMI?: Because it is one of the best reputed college in india
What are your hobbies?: Playing Cricket
What are your strengths?: Hardworking
What are your weaknesses?: Trust anyone easily
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 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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