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: DNS2052176 Name: ASHISH
  Address: 15 B SHYAM NAGAR NEAR HIM SHIKHA SCHOOL BABYAL ROAD, AMBALA CANTT
Telephone No.: Mobile no: 7497810425
E-mail: bharatsingh1524@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 310363103
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052176 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: DNS2052176
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ASHISH
Mother's Name: REETA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jan 2003 Nationality: INDIAN
Place of Birth: AMBALA CANT Personal Identification Mark: MOLE ON NOSE
Blood Group: A + Address for Communication: 15 B SHYAM NAGAR NEAR HIM SHIKHA SCHOOL BABYAL ROAD, AMBALA CANTT
State: Haryana Country: India
Pin: 133005 City/District: AMBALA
Mobile no: 7497810425 Telephone No. with STD code:
Aadhar Card No:320243362864 E-mail: bharatsingh1524@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BHARAT SINGH Relationship with candidate: FATHER
Parents Date of Birth: 15 Feb 1977 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: NZRE OFFICE NEAR GURUDWARA RAILWAY COLONY AMBALA CANTT
Country: India State: Haryana
City/District: AMBALA Pin: 133005
Tel: Mobile no.: 9416870425
Fax: Email: bharatsingh1524@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: CONVENT OF SACRED HEART School: AMBALA PUBLIC SCHOOL
City: AMBALA City: AMBALA
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 72 School/College Code:
  Centre code:
  Address of School/College: GANESH VIHAR ,HISSAR ROAD AMBALA CANTT
  Pin: 134003
  Contact Nos:
  Email: ambala_public@redifmail.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 ?: after completing my class 12th final exams i spend my most of the time studyingfor IMU test and other competative exams and practicing swimming, english speacking ect.
Why do you wish to join TMI?: i want to percue my carrier in merchant navy.
What are your hobbies?: listening song , writing .
What are your strengths?: my parents
What are your weaknesses?: focusing on my small details
How do you intend to meet the expenses of this program?: 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 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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