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: DNS2051213 Name: ADITYA GUPTA
  Address: H-63 SHIVALIK NAGAR BHEL RANIPUR HARIDWAR
Telephone No.: 01334233033 Mobile no: 7455939374
E-mail: adityagpt27@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 308558909
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051213 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: DNS2051213
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ADITYA GUPTA
Mother's Name: SANGEETA GUPTA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jun 2002 Nationality: INDIAN
Place of Birth: HARIDWAR Personal Identification Mark: MOLES ON CHIN
Blood Group: O + Address for Communication: H-63 SHIVALIK NAGAR BHEL RANIPUR HARIDWAR
State: Uttaranchal Country: India
Pin: 249403 City/District: Haridwar
Mobile no: 7455939374 Telephone No. with STD code: 01334233033
Aadhar Card No:787085870870 E-mail: adityagpt27@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MURARI LAL GUPTA Relationship with candidate: FATHER
Parents Date of Birth: 03 Jan 1968 Parent's/Guardian's Occupation/Designation: SELF EMPLOYED
   
Office Address:
   
Address: H-63 SHIVALIK NAGAR BHEL HARIDWAR
Country: India State: Uttaranchal
City/District: Haridwar Pin: 249403
Tel: Mobile no.: 9690467797
Fax: Email: murari.lal2k15@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: CBSE
School: st mary sr sec school School: ST MARYSR SEC SCHOOL
City: haridwar City: HARIDWAR
English %: 67 Board Roll No./Seat No.:
Aggregate Percentage: 67 School/College Code:
  Centre code:
  Address of School/College: ST.MARY SR SEC SCHOOL
  Pin: 249407
  Contact Nos:
  Email: stmarysjwalapur@yahoo.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to read various knowledgeable books and prepare for college entrance exams.
Why do you wish to join TMI?: i am looking forward to joining TMI because it is got good curriculum structure, good faculty and top notch facilities.
What are your hobbies?: I like to play video games,cricket.
What are your strengths?: Continuous Learning,intgerity,Taking Initiative
What are your weaknesses?: Self-criticism, too detail oriented,perfectionism
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 not uploaded Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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