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: DNS2052096 Name: aman khan
  Address: bhagwa chungi beside easyday bhagwa chungi beside munna tent house
Telephone No.: Mobile no: 7080191786
E-mail: akamankhan7080@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: 310201961
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052096 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: DNS2052096
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: aman khan
Mother's Name: firdous fatima
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Sep 2002 Nationality: Indian
Place of Birth: shrinathpur Personal Identification Mark: cuts on my left hand
Blood Group: A + Address for Communication: bhagwa chungi beside easyday bhagwa chungi beside munna tent house
State: Uttar Pradesh Country: India
Pin: 230001 City/District: pratapgarh
Mobile no: 7080191786 Telephone No. with STD code:
Aadhar Card No:726575898290 E-mail: akamankhan7080@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: firdous fatima Relationship with candidate: mother
Parents Date of Birth: 11 Sep 1978 Parent's/Guardian's Occupation/Designation: goverment teacher
   
Office Address:
   
Address: bhagwa chungi in front of royal garden bhagwa chungi beside easyday
Country: India State: Uttar Pradesh
City/District: pratapgarh Pin: 230001
Tel: Mobile no.: 8756300850
Fax: Email: firdousfatima223@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: ISCE
School: Prabhat academy School: Prabhat academy
City: pratapgarh City: Pratapgarh
English %: 67 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: ashtbhuja nagar Pratapgarh , bela uttarpradesh 230001
  Pin: 230001
  Contact Nos:
  Email: akaman7080@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2019 maximum number of spiderman knuckle pushups india book of records national level 1st
12/2015 kabaddi national level top 5
11/2014 state cricket state level gold
03/2018 ncc cadet A grade
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: spending time with family and friends also preparing for the entrance exam of merchant navy
Why do you wish to join TMI?: TMI provides the best faculty and as i am very much into sports and physical activity i think this is the best institute which suits me
What are your hobbies?: guitar, fitness , sports and spending time with animals
What are your strengths?: my personality and my confidence of never giving up.
What are your weaknesses?: impatient
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 ________________

 
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