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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)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2052594 |
Name: Ayush Batra |
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Address: 1905,Arihant Amodini,Sector-24,plot 4, taloja phase 2,Navi mumbai |
| Telephone No.: |
Mobile no: 8440991634 |
| E-mail: bayush403@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 312052490 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052594 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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| Date ________________ |
Date ________________ |
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| 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. |
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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
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| Applicant's Personal Information: |
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| Full Name as on Class XII Marksheet/Pass Certificate: Ayush Batra |
| Mother's Name: Suman |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 23 Nov 2001 |
Nationality: Indian |
| Place of Birth: New Delhi |
Personal Identification Mark: Scar mark on forehead |
| Blood Group: B + |
Address for Communication: 1905,Arihant Amodini,Sector-24,plot 4, taloja phase 2,Navi mumbai |
| State: Maharashtra |
Country: India |
| Pin: 410208 |
City/District: Raigarh |
| Mobile no: 8440991634 |
Telephone No. with STD code: |
| Aadhar Card No: |
E-mail: bayush403@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Parveen Batra |
Relationship with candidate: Father |
| Parents Date of Birth: 10 May 1974 |
Parent's/Guardian's Occupation/Designation: Teaching |
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| Office Address: |
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| Address: Sanjivani international school, sector 18 Kharghar, navi mumbai |
| Country: India |
State: Maharashtra |
| City/District: Raigarh |
Pin: 410210 |
| Tel: |
Mobile no.: 8652197073 |
| Fax: |
Email: bparveen515@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2017 |
Year of Passing: 2019 |
| Board: CBSE |
Board: CBSE |
| School: Ramsheth thakur public school |
School: Aklank public school |
| City: Navi mumbai |
City: Kota |
| English %: 95 |
Board Roll No./Seat No.: 1673720 |
| Aggregate Percentage: 95 |
School/College Code: 16432 |
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Centre code: 1469 |
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Address of School/College: Aklank Day boarding cum resident school
NH 12 Mandana, Kota |
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Pin: 325003 |
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Contact Nos: |
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Email: mandana.adbrs@gmail.com |
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Aggregate Percentage: 61 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
53 |
53 |
| Chemistry |
100 |
54 |
54 |
| Mathematics |
100 |
57 |
57 |
| Physics, Chemistry & Mathematics combined Percentage: |
54.67 |
| English |
100 |
71 |
71 |
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| IMU CET Application Number: |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: After completing my final exam I ll regularly engage in exercise to get in shape
I will read books and listen EDM music.
Also I will surf the net to get to know more about Merchant Navy.
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| Why do you wish to join TMI?: TMI is one of the most established and recognized institute for merchant navy in India |
| What are your hobbies?: Listening Music, swimming |
| What are your strengths?: Good grasping, hard working |
| What are your weaknesses?: Bit Aggressive |
| How do you intend to meet the expenses of this program?: Bank Loan |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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| 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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