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: DNS2050929 Name: Ashmit kashyap
  Address: 44/13, GALI 1, HUSSAINPURA WEST
Telephone No.: 9877971871 Mobile no: 8360542753
E-mail: ashmitkashyap0217@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 307537135
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050929 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: DNS2050929
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashmit kashyap
Mother's Name: Priti kashyap
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Feb 2002 Nationality: Indian
Place of Birth: Amritsar Personal Identification Mark: Black dot on right shoulder
Blood Group: B + Address for Communication: 44/13, GALI 1, HUSSAINPURA WEST
State: Punjab Country: India
Pin: 143001 City/District: amritsar
Mobile no: 8360542753 Telephone No. with STD code: 9877971871
Aadhar Card No: E-mail: ashmitkashyap0217@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Parshotam kumar kashyap Relationship with candidate: Father
Parents Date of Birth: 25 May 1972 Parent's/Guardian's Occupation/Designation: Accountant
   
Office Address:
   
Address: S. no 3 shanti bhawan pakki gali near old improvement trust
Country: India State: Punjab
City/District: amritsar Pin: 143001
Tel: Mobile no.: 9877971871
Fax: Email: parshottamkumar72@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Bhartiya vidhya bhavan SL public school School: Bhartiya vidhya bhavan SL public school
City: amritsar City: amritsar
English %: 79 Board Roll No./Seat No.: 13603990
Aggregate Percentage: 79 School/College Code: 20105
  Centre code: 2009
  Address of School/College: shiwala road
  Pin: 143001
  Contact Nos: 9877971871
  Email: parshottamkumar72@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
05/2017 chess district Second
05/2016 chess district Third
09/2017 chess Punjab State Third
07/2017 chess Punjab state Eighth
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
11/2013 Hindustan Scout and Guides 4 days
09/2017 Home nurshing 1 day
08/2017 First aid 1 day
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: gyming and swimming
Why do you wish to join TMI?: good institute
What are your hobbies?: playing cricket , chess
What are your strengths?: remembering things
What are your weaknesses?: high places
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 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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