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: DNS2051949 Name: KARTIK SHARMA
  Address: ADARSH NAGAR MUKHIYA GALI BHOPATWALA HARIDWAR
Telephone No.: Mobile no: 9149193556
E-mail: kartiksh31@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309838744
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051949 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: DNS2051949
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KARTIK SHARMA
Mother's Name: PRAMILA SHARMA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jan 2002 Nationality: INDIAN
Place of Birth: HARIDWAR Personal Identification Mark: MARK OF STITCHES BELOW THE KNEE
Blood Group: O - Address for Communication: ADARSH NAGAR MUKHIYA GALI BHOPATWALA HARIDWAR
State: Uttaranchal Country: India
Pin: 249401 City/District: HARIDWAR
Mobile no: 9149193556 Telephone No. with STD code:
Aadhar Card No:777717254544 E-mail: kartiksh31@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRAMILA SHARMA Relationship with candidate: MOTHER
Parents Date of Birth: 02 Jul 1974 Parent's/Guardian's Occupation/Designation: GOVERNMENT TEACHER
   
Office Address:
   
Address: ADARSH NAGAR MUKHIYA GALI BHOPATWALA , HARIDWAR
Country: India State: Uttaranchal
City/District: HARIDWAR Pin: 249401
Tel: Mobile no.: 9897645618
Fax: Email: kartiksh31@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: KENDRIYA VIDYALAYA RAIWALA DEHRADUN UTTARAKHAND School: DOON PUBLIC SCHOOL
City: DEHRADUN City: ROORKEE
English %: 67 Board Roll No./Seat No.: 25620436
Aggregate Percentage: 72 School/College Code: 81385
  Centre code: 8082
  Address of School/College: GREEN PARK COLONY ,NEAR RAMPUR CHUNGI, ROORKEE , HARIDWAR UTTARAKHAND
  Pin: 247667
  Contact Nos: 8126977333
  Email: info@doonschoolrke.com
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 66 66
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 63.67
English 100 77 77
   
IMU CET Application Number: CET20U78258  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: WORKING ON MY BODY TO IMPROVE MY PHYSIQUE AND TO MAKE MY BODY FIT.
Why do you wish to join TMI?: TMI IS MY DREAM COLLEGE .
What are your hobbies?: PLAYING CRICKET
What are your strengths?: DISCIPLINE
What are your weaknesses?: SELF-CRITICISM
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 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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