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: DNS2051798 Name: SHARANDEEP THAPPA
  Address: VILLAGE TARUWAL POST OFFICE DODWAN
Telephone No.: Mobile no: 8146466225
E-mail: sharandeepthappa@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 309602450
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051798 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2051798
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHARANDEEP THAPPA
Mother's Name: NEELAM KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jul 2002 Nationality: INDIAN
Place of Birth: GURDASPUR Personal Identification Mark: MOLE NEAR RIGHT EYEBROW
Blood Group: A + Address for Communication: VILLAGE TARUWAL POST OFFICE DODWAN
State: Punjab Country: India
Pin: 143532 City/District: GURDASPUR
Mobile no: 8146466225 Telephone No. with STD code:
Aadhar Card No:421841086954 E-mail: sharandeepthappa@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PAWAN KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 13 Jan 1971 Parent's/Guardian's Occupation/Designation: STATE GOVT SERVICE
   
Office Address:
   
Address: IRRIGATION DEPARTMENT GURDASPUR
Country: India State: Punjab
City/District: GURDASPUR Pin: 143521
Tel: Mobile no.: 9814858633
Fax: Email: sharandeepthappa@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: Punjab
School: LITTLE FLOWER CONVENT SCHOOL School: GOVT MODEL SR SEC SCHOOL BOYS
City: DINANAGAR City: DINANAGAR
English %: 64 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code:
  Centre code:
  Address of School/College: DINANAGAR
  Pin: 143531
  Contact Nos:
  Email: sharandeepthappa@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 75
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepairing myself for competitive exams
Why do you wish to join TMI?: Reputed institution
What are your hobbies?: traveling
What are your strengths?: Positive thinking
What are your weaknesses?: mobile addict
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

 

___________________

Date ________________

 
Print Summary and Application Form