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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2170071 Name: l
  Address: j j
Telephone No.: Mobile no: 9922680874
E-mail: shabanas@tmi.tolani.edu  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170071 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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 - 2021

 
  Dossier ID: DNS2170071
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: l
Mother's Name: b
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Oct 2004 Nationality: Indian
Place of Birth: h Personal Identification Mark: h
Blood Group: B + Address for Communication: j j
State: Nagaland Country: Bahrain
Pin: 410507 City/District: j
Mobile no: 9922680874 Telephone No. with STD code:
Aadhar Card No: E-mail: shabanas@tmi.tolani.edu
 
Guardian's Particulars:
 
Name of Parent/Guardian: j Relationship with candidate: l
Parents Date of Birth: 12 Mar 1985 Parent's/Guardian's Occupation/Designation: l
   
Office Address:
   
Address: j j
Country: Bahrain State: Nagaland
City/District: j Pin: 410507
Tel: Mobile no.: 9922680874
Fax: Email: shabanas@tmi.tolani.edu
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Goa Board: Haryana
School: hh School: jj
City: hh City: j
English %: 1 Board Roll No./Seat No.: 5555
Aggregate Percentage: 1 School/College Code: c
  Centre code: c
  Address of School/College: j j
  Pin: 410507
  Contact Nos: 9922680874
  Email: shabanas@tmi.tolani.edu
  Aggregate Percentage: 1
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 1 1
Chemistry 100 1 1
Mathematics 100 1 1
Physics, Chemistry & Mathematics combined Percentage: 1
English 100 1 1
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: h
Why do you wish to join TMI?: h
What are your hobbies?: h
What are your strengths?: h
What are your weaknesses?: h
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

___________________

Date ________________

 
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