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: DNS2051611 Name: Shreyas satyendra kumar
  Address: House no 1351 shiv colony bitna road pinjore ,Panchkula House no 1351 shiv colony bitna road pinjore ,Panchkula
Telephone No.: Mobile no: 7988211836
E-mail: sk.shreyas2000@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 309208742
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051611 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: DNS2051611
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shreyas satyendra kumar
Mother's Name: Anita satyendra kumar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Nov 2002 Nationality: INDIA
Place of Birth: Aurangabad Personal Identification Mark: Cut in four head
Blood Group: B + Address for Communication: House no 1351 shiv colony bitna road pinjore ,Panchkula House no 1351 shiv colony bitna road pinjore ,Panchkula
State: Haryana Country: India
Pin: 134102 City/District: Pinjore
Mobile no: 7988211836 Telephone No. with STD code:
Aadhar Card No:218714650795 E-mail: sk.shreyas2000@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Satyendra kumar Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1979 Parent's/Guardian's Occupation/Designation: Private job
   
Office Address:
   
Address: Innova captab limited 1281/1 hilltop industrial estate jharmajri Innova captab limited 1281/1 hilltop industrial estate jharmajri
Country: India State: Himachal Pradesh
City/District: Baddi Pin: 173205
Tel: Mobile no.: 9218552182
Fax: Email: satyendra.kumar@innovacaptab.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Dav senior public school surajpur School: Dav senior public school surajpur
City: Panchkula City: Panchkula
English %: 54 Board Roll No./Seat No.:
Aggregate Percentage: 51 School/College Code:
  Centre code:
  Address of School/College: Surajpur district Panchkula
  Pin: 133301
  Contact Nos:
  Email: sk.shreyas2000@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepare for tmi entrance test as well as imu cet for ganing good
Why do you wish to join TMI?: TMI have very good placement and experience teachers and also good study material
What are your hobbies?: Playing cricket
What are your strengths?: My strength is my mother father and my brother
What are your weaknesses?: I have no weakness
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 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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