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: DNS2050877 Name: Sarthak Srivastava
  Address: 119/154 5no gumti,om nagar gali,darshanpurwa 119/154 5no gumti,om nagar gali,darshanpurwa
Telephone No.: 8756347976 Mobile no: 8756347976
E-mail: srai40426@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 307403761
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050877 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: DNS2050877
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sarthak Srivastava
Mother's Name: Soni Srivastava
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Sep 2001 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: Tall height
Blood Group: A - Address for Communication: 119/154 5no gumti,om nagar gali,darshanpurwa 119/154 5no gumti,om nagar gali,darshanpurwa
State: Uttar Pradesh Country: India
Pin: 208012 City/District: Kanpur
Mobile no: 8756347976 Telephone No. with STD code: 8756347976
Aadhar Card No:602393114493 E-mail: srai40426@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ajay Srivastava Relationship with candidate: Father
Parents Date of Birth: 18 Feb 1973 Parent's/Guardian's Occupation/Designation: Self employed
   
Office Address:
   
Address: 119/154 5no gumti,om nagar gali,darshanpurwa 119/154 5no gumti,om nagar gali,darshanpurwa
Country: India State: Uttar Pradesh
City/District: Kanpur Pin: 208012
Tel: 08756347976 Mobile no.: 8887957570
Fax: Email: ajaysrivastava237@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Shree Sanatan Dharm Education Center School: BSS Education Center
City: Kanpur City: Kanpur
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: Shop No.808, P-Block, Kakadav Rd, Near Gopal Towers, Kakadeo, Kanpur, Uttar Pradesh 208025
  Pin: 208025
  Contact Nos:
  Email: bssedu@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will work on my body and I will prepare my body for all the hardships that I have to face during my merchant navy journey
Why do you wish to join TMI?: I know that tippani is one of the best college in Asia and I know after entering this institute my future will be bright
What are your hobbies?: Singing ,rapping and sketching
What are your strengths?: Calm mind and adjustable behaviour
What are your weaknesses?: Shyness
How do you intend to meet the expenses of this program?: Own Resources,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 Class XII marksheet not uploaded
 
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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