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: DNS2050387 Name: Aniket Upadhyay
  Address: Flat No.501 L.G Towers Jawaharnagar , Sriharipuram Malkapuram Post
Telephone No.: Mobile no: 9985479460
E-mail: aniups01@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 306187073
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050387 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: DNS2050387
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aniket Upadhyay
Mother's Name: Malti Upadhyay
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Mar 2001 Nationality: Indian
Place of Birth: Vizag Personal Identification Mark: Mole on left side of nose
Blood Group: O + Address for Communication: Flat No.501 L.G Towers Jawaharnagar , Sriharipuram Malkapuram Post
State: Andhra Pradesh Country: India
Pin: 530011 City/District: Visakhapatnam
Mobile no: 9985479460 Telephone No. with STD code:
Aadhar Card No: E-mail: aniups01@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Kumar Upadhyay Relationship with candidate: Father
Parents Date of Birth: 15 Jan 1977 Parent's/Guardian's Occupation/Designation: Ex Indian Navy
   
Office Address:
   
Address: Naval Dockyard Scindia
Country: India State: Andhra Pradesh
City/District: Visakhapatnam Pin: 530005
Tel: Mobile no.: 9010382180
Fax: Email: aniketupadhyay2403@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya No.1 Nausenabaugh School: Kendriya Vidyalaya No.1 Nausenabaugh
City: Visakhapatnam City: Visakhapatnam
English %: 90 Board Roll No./Seat No.: 4656194
Aggregate Percentage: 84 School/College Code: 40015
  Centre code: 4591
  Address of School/College: Kendriya Vidyalaya No.1 Nausenabaugh , Scindia , Visakhapatnam
  Pin: 530005
  Contact Nos:
  Email: kv1nausenabaugh@yahoo.co.in
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 68 68
Mathematics 100 55 55
Physics, Chemistry & Mathematics combined Percentage: 67.33
English 100 84 84
   
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 Football Interhouse 2nd Runner up
12/2017 Football Interhouse Runner Up
12/2017 Basketball Interhouse Runner Up
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to work on improving my communication skills and would go for outdoor sports activties . I would also explore new places arround me.
Why do you wish to join TMI?: I wish to join TMI because of it has good teaching faculty,latest equipments and good placements. TMI also hold a good reputation in the field of marine education.
What are your hobbies?: My hobbies are listening music and playing outdoor sports.
What are your strengths?: I am very good at my communication skills and can interact with anybody. I can also adjust in any situation and can handle it peacefully.
What are your weaknesses?: I am very friendly in nature and easily trusts my friends.
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 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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