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: DNS2052365 Name: Gracy Singh
  Address: Surya Nagar Najibabad road, Kotdwara
Telephone No.: Mobile no: 9058171172
E-mail: gracysingh00000@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 312052413
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052365 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: DNS2052365
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Gracy Singh
Mother's Name: Sudha Singh
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Feb 2003 Nationality: India
Place of Birth: kotdwara Personal Identification Mark: birthmark on thigh
Blood Group: O + Address for Communication: Surya Nagar Najibabad road, Kotdwara
State: Other Country: India
Pin: 246149 City/District: Kotdwara
Mobile no: 9058171172 Telephone No. with STD code:
Aadhar Card No:312256237315 E-mail: gracysingh00000@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Harjeet Singh Relationship with candidate: father
Parents Date of Birth: 01 Jan 1975 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Singh paints and sanitary store near Kodiya pull Kotdwara
Country: India State: Other
City/District: Kotdwara Pin: 246149
Tel: Mobile no.: 9837224851
Fax: Email: harjeetsingktw@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: ISCE
School: St. Joseph convent school School: St. Joseph convent school
City: Kotdwara City: kotdwara
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: Opposite of kay Pride mall, simbalchaur, kotdwara
  Pin: 246149
  Contact Nos:
  Email: joscm@rediffmail.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 ?: Learning cooking and playing volleyball
Why do you wish to join TMI?: to gain wonderful experience and knowledge from the best maritime institute
What are your hobbies?: Travelling,Cooking and reading books
What are your strengths?: I am very patient and calm in any difficult situation
What are your weaknesses?: I am a bit emotional
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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