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: DNS2052732 Name: Dennis joseph
  Address: 3 -C-22 V. V. Colony Shaktinagar
Telephone No.: 7985341680 Mobile no: 7985341680
E-mail: josephdenit@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 312462489
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052732 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: DNS2052732
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dennis joseph
Mother's Name: Shyla joseph
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Sep 1999 Nationality: Indian
Place of Birth: Kerala Personal Identification Mark: Mole on the hip
Blood Group: O + Address for Communication: 3 -C-22 V. V. Colony Shaktinagar
State: Uttar Pradesh Country: India
Pin: 231222 City/District: Sonebhdra
Mobile no: 7985341680 Telephone No. with STD code: 7985341680
Aadhar Card No:226777714421 E-mail: josephdenit@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bijo joseph Relationship with candidate: Father
Parents Date of Birth: 29 Mar 1974 Parent's/Guardian's Occupation/Designation: Central goverment
   
Office Address:
   
Address: 3 -C-22 V. V. Colony Shaktinagar
Country: India State: Uttar Pradesh
City/District: Sonebhdra Pin: 231222
Tel: 7985341680 Mobile no.: 9984904199
Fax: Email: bijojoseph1974@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: CBSE Board: CBSE
School: K.V.CHOPAN School: ST.JOSEPH SCHOOL
City: OBRA City: Shaktinagar
English %: 86 Board Roll No./Seat No.: 5709094
Aggregate Percentage: 87 School/College Code: 71222
  Centre code: 7288
  Address of School/College: 3 -C-22 V. V. Colony
  Pin: 231222
  Contact Nos: 7985341680
  Email: dj4943926@gmail.com
  Aggregate Percentage: 81
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 80 80
Mathematics 100 82 82
Physics, Chemistry & Mathematics combined Percentage: 81.67
English 100 69 69
   
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
08/2011 Basketball Participation at regional level Winner
09/2012 Khokho Participation Participation at regional level
08/2014 Volleyball Particapation at regional level at varansi Participation at regional level
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
08/2010 The bharat scouts and guides Dwitiya sopan testing camp
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing volleyball and keyboard
Why do you wish to join TMI?: Because it is best college for DNS and I have excellence in my accademics and I intersted to join in TMI
What are your hobbies?: Playing volleyball and keyboard
What are your strengths?: Discipline and dedication
What are your weaknesses?: Sensitive
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
 
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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