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: DNS2052563 Name: Tanish Saxena
  Address: House no.57, madinath, near bank of baroda
Telephone No.: Mobile no: 9997634422
E-mail: tanishsaxena78@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 311900429
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052563 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: DNS2052563
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Tanish Saxena
Mother's Name: Seema Saxena
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Dec 2001 Nationality: Indian
Place of Birth: Bareilly Personal Identification Mark: Burnmark on elbow
Blood Group: A + Address for Communication: House no.57, madinath, near bank of baroda
State: Uttar Pradesh Country: India
Pin: 243003 City/District: BAREILLY
Mobile no: 9997634422 Telephone No. with STD code:
Aadhar Card No:817018239934 E-mail: tanishsaxena78@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sudhir Saxena Relationship with candidate: Father
Parents Date of Birth: 30 Jun 1970 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: House no.57, madinath, near bank of baroda
Country: India State: Uttar Pradesh
City/District: BAREILLY Pin: 243003
Tel: Mobile no.: 8077319680
Fax: Email: sudhirsaxena23091970@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Bishop Conrad Senior Sec. School School: Brij Bhushan Lal Public School
City: Bareilly City: Bareilly
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: Alakhnath Road Bareilly
  Pin: 243001
  Contact Nos:
  Email: bblschool@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for N.D.A.
Why do you wish to join TMI?: Because I have listened a lot about its minimum waiting period and its helpful faculty .
What are your hobbies?: Reading Books,exploring Wild Lifes
What are your strengths?: Leadership qualities , encouraging behaviour ,dedication
What are your weaknesses?: Short tempered
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 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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