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: DNS2051244 Name: ANIKET KALIA
  Address: VILL DADHERA POCHAMNED DISTT TEH HAMIRUR HIMACHAL PRADESH
Telephone No.: Mobile no: 9805568199
E-mail: aniketkaliasharma@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: 308569643
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051244 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: DNS2051244
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANIKET KALIA
Mother's Name: RANJNA SHARMA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Sep 2001 Nationality: HINDU
Place of Birth: HAMIRPUR Personal Identification Mark: MOLE ON UPPER LIP
Blood Group: B + Address for Communication: VILL DADHERA POCHAMNED DISTT TEH HAMIRUR HIMACHAL PRADESH
State: Himachal Pradesh Country: India
Pin: 177029 City/District: HAMIRPUR
Mobile no: 9805568199 Telephone No. with STD code:
Aadhar Card No:765223590525 E-mail: aniketkaliasharma@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MUKESH KUMAR Relationship with candidate: SON
Parents Date of Birth: 26 Jan 1978 Parent's/Guardian's Occupation/Designation: ARMY
   
Office Address:
   
Address: VILL DADHERA POCHAMNED DISTT TEH HAMIRUR HIMACHAL PRADESH
Country: India State: Himachal Pradesh
City/District: hamirpur Pin: 177029
Tel: Mobile no.: 9410897568
Fax: Email: mukeshkalia50@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Himachal Pradesh
School: kv hamirpur School: gurukul public school
City: hamirpur City: hamirpur
English %: 80 Board Roll No./Seat No.: 1941574078
Aggregate Percentage: 72 School/College Code: 02060104305
  Centre code: 15
  Address of School/College: gurukul public school
  Pin: 177001
  Contact Nos:
  Email: gurukulpublicschool@gmai.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 62 62
Mathematics 100 49 49
Physics, Chemistry & Mathematics combined Percentage: 63.33
English 100 71 71
   
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
06/2019 imucet clear 9039
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparation for dns and imu cet
Why do you wish to join TMI?: tmi is no 1 insitute for dns training
What are your hobbies?: travel new place learn new things playing games
What are your strengths?: hardworking
What are your weaknesses?: feeling nervousness some situation but i can improve my problem
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 not uploaded Class XII marksheet
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
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