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: DNS2050375 Name: Avish Tyagi
  Address: Vill Pura post pura near mansurpur
Telephone No.: Mobile no: 9520192544
E-mail: tyagiavish5@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 306152993
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050375 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: DNS2050375
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Avish Tyagi
Mother's Name: Ruby Tyagi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Feb 2002 Nationality: Indian
Place of Birth: Pura Personal Identification Mark: no
Blood Group: AB + Address for Communication: Vill Pura post pura near mansurpur
State: Uttar Pradesh Country: India
Pin: 251203 City/District: Muzaffarnagar
Mobile no: 9520192544 Telephone No. with STD code:
Aadhar Card No: E-mail: tyagiavish5@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sachin Tyagi Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1979 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: vill pura post pura near mansurpur
Country: India State: Uttar Pradesh
City/District: Muzaffarnagar Pin: 251203
Tel: Mobile no.: 9634583500
Fax: Email: tyagisahcin11@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Rakhee Public School School: Shri Guru Ram Rai Public School
City: MuzaffarNagar City: Muzaffarnagar
English %: 80 Board Roll No./Seat No.: 25648783
Aggregate Percentage: 80 School/College Code: 99999
  Centre code: 8211
  Address of School/College: Roorke road ,Muzaffarnagar near shri ram polytechnic
  Pin: 251001
  Contact Nos:
  Email: tyagiavish5@gmail.com
  Aggregate Percentage: 53
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 50 50
Chemistry 100 50 50
Mathematics 100 35 35
Physics, Chemistry & Mathematics combined Percentage: 45
English 100 54 54
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: coaching
Why do you wish to join TMI?: best institute for maritime
What are your hobbies?: playing games,Music
What are your strengths?: task prioritization
What are your weaknesses?: lack of confidence
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 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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