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: DNS2051180 Name: Sahil singh
  Address: Qtr-109 vd road new cantt allahabad Qtr -54 Ra bazar new Cantt allahabad
Telephone No.: 7051818443 Mobile no: 8765796613
E-mail: friendsimtefriendsinternetcafe35@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 308453848
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051180 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: DNS2051180
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sahil singh
Mother's Name: Annu singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Dec 2001 Nationality: Indian
Place of Birth: Allahabad Personal Identification Mark: Mole on neck
Blood Group: B + Address for Communication: Qtr-109 vd road new cantt allahabad Qtr -54 Ra bazar new Cantt allahabad
State: Uttar Pradesh Country: India
Pin: 211001 City/District: Allahabad
Mobile no: 8765796613 Telephone No. with STD code: 7051818443
Aadhar Card No: E-mail: friendsimtefriendsinternetcafe35@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Harindra singh Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1975 Parent's/Guardian's Occupation/Designation: Indian army
   
Office Address:
   
Address: 5171 Asc bn Udhampur j and k 520 ASc bn allahabad
Country: India State: Uttar Pradesh
City/District: Allahabad Pin: 211001
Tel: Mobile no.: 7051818443
Fax: Email: shubhamsinghmajor@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Uttar Pradesh
School: Kendriya Vidyalaya new cantt allahabad School: 1321-janakdhari jsic bakarpur babhanauli ballia
City: Allahabad City: Allahabad
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Centre code:
  Address of School/College: Ra bazar new cantt
  Pin: 277001
  Contact Nos: 7051818443
  Email: shubhamsinghmajor@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
07/2018 Swimming National and regional level 5
07/2019 Swimming National and regional level 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for Sponsership or imu exam
Why do you wish to join TMI?: TMI is best collage
What are your hobbies?: Swimming
What are your strengths?: Hardwork
What are your weaknesses?: Cooking food
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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