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: DNS2051095 Name: Harsh Goyal
  Address: 69,durga puri khatauli Deepchand Mandi khatauli
Telephone No.: Mobile no: 9917370077
E-mail: goyalharsh050@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 308340274
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051095 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: DNS2051095
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harsh Goyal
Mother's Name: Shobhika Goyal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Oct 2002 Nationality: Indian
Place of Birth: Khatauli Personal Identification Mark: Tatto on right hand
Blood Group: AB - Address for Communication: 69,durga puri khatauli Deepchand Mandi khatauli
State: Uttar Pradesh Country: India
Pin: 251201 City/District: Khatauli
Mobile no: 9917370077 Telephone No. with STD code:
Aadhar Card No:393240159740 E-mail: goyalharsh050@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Amrish Goyal Relationship with candidate: Father
Parents Date of Birth: 11 Feb 1975 Parent's/Guardian's Occupation/Designation: Business man
   
Office Address:
   
Address: 69,durga puri khatauli Deepchand Mandi khatauli
Country: India State: Uttar Pradesh
City/District: Khatauli Pin: 251201
Tel: Mobile no.: 8937980718
Fax: Email: goyal.harsh351@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Maples Academy meerut road School: Maples Academy meerut road
City: Khatauli City: Khatauli
English %: 83 Board Roll No./Seat No.: 25652046
Aggregate Percentage: 88 School/College Code: 81327
  Centre code: 8224
  Address of School/College: Meerut Road Khatauli Muzaffarnagar
  Pin: 251201
  Contact Nos: 8477009090
  Email: vipinsangal29@gmail.com
  Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 80 80
Mathematics 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 78.33
English 100 95 95
   
IMU CET Application Number: CET20U97965  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation of entrance exam and interview
Why do you wish to join TMI?: To get immediate placement
What are your hobbies?: Playing Table tennis and reading
What are your strengths?: Good in calculation
What are your weaknesses?: Weak in organic chemistry
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 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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