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: DNS2052267 Name: VIRAJ TIWARI
  Address: 4B/282 VRINDAVAN YOJNA RBL ROAD, LUCKNOW
Telephone No.: 0522 Mobile no: 7007330875
E-mail: tiwari.viraj09@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 310647758
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052267 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: DNS2052267
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIRAJ TIWARI
Mother's Name: SNEH LATA TIWARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Nov 2001 Nationality: Indian
Place of Birth: LUCKNOW Personal Identification Mark: BURN MARK ON LEFT HAND
Blood Group: B + Address for Communication: 4B/282 VRINDAVAN YOJNA RBL ROAD, LUCKNOW
State: Uttar Pradesh Country: India
Pin: 226025 City/District: LUCKNOW
Mobile no: 7007330875 Telephone No. with STD code: 0522
Aadhar Card No:353363056875 E-mail: tiwari.viraj09@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ANIL KUMAR TIWARI Relationship with candidate: FATHER
Parents Date of Birth: 12 Sep 1970 Parent's/Guardian's Occupation/Designation: SELF EMPLOYED
   
Office Address:
   
Address: ORIENTAL BUILDING HAZRATGANJ LUCKNOW
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226001
Tel: 0522 Mobile no.: 9415015995
Fax: 0522 Email: anilktiwarilic@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: THE MILLENNIUM SCHOOL School: THE MILLENNIUM SCHOOL
City: LUCKNOW City: LUCKNOW
English %: 95 Board Roll No./Seat No.: 5715228
Aggregate Percentage: 89 School/College Code: 54709
  Centre code: 5260
  Address of School/College: F-BLOCK SOUTH CITY
  Pin: 226025
  Contact Nos: 8188850333
  Email: info.lucknow@themillenniumschools.com
  Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 54 54
Chemistry 100 56 56
Mathematics 100 33 33
Physics, Chemistry & Mathematics combined Percentage: 47.67
English 100 75 75
   
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
05/2017 ATHLETICS ATHLETE FIRST
09/2016 DECLAMATION SPEAKER THIRD
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: WHILE PLAYING FOOTBALL AND GAINING KNOWLEDGE ABOUT MERCHANT NAVY
Why do you wish to join TMI?: I HAVE HEARD SO MANY GOOD COMMENTS ABOUT THE FACULTY FROM MY FRIENDS AND ALSO IT WOULD BE AN HONOUR FOR ME TO STUDY IN THIS COLLEGE BECAUSE ITS MY DREAM COLLEGE
What are your hobbies?: FOOTBALL,CRICKET AND BADMINTON
What are your strengths?: MY SELF CONFIDENCE AND MY FAITH IN ME
What are your weaknesses?: SOMETIMES GET DEMOTIVATED IF NOT SUCCEED
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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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