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: DNS2170082 Name: Aman singh negi
  Address: 79/4A,lane no. 2C,post office road,bhagat niwas Clement town, Dehradun, Uttarakhand
Telephone No.: Mobile no: 7983973469
E-mail: amansinghnegi57@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 422598638
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170082 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: DNS2170082
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aman singh negi
Mother's Name: Sangeeta negi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Dec 2002 Nationality: Indian
Place of Birth: Jalandhar Personal Identification Mark: Mole on right leg
Blood Group: O + Address for Communication: 79/4A,lane no. 2C,post office road,bhagat niwas Clement town, Dehradun, Uttarakhand
State: Uttaranchal Country: India
Pin: 248002 City/District: Dehradun
Mobile no: 7983973469 Telephone No. with STD code:
Aadhar Card No:986554006874 E-mail: amansinghnegi57@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj Singh Relationship with candidate: Father
Parents Date of Birth: 05 May 1973 Parent's/Guardian's Occupation/Designation: Army
   
Office Address:
   
Address: 79/4A,lane no. 2C,post office road,bhagat niwas Clement town, dehradun, uttarakhand
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248002
Tel: 248002 Mobile no.: 7983973469
Fax: Email: amansinghnegi51@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: APS CLEMENT TOWN School: APS CLEMENT TOWN
City: Dehradun City: Dehradun
English %: 68 Board Roll No./Seat No.: 25603731
Aggregate Percentage: 81 School/College Code: 248002
  Centre code: 248002
  Address of School/College: APS CLEMENT TOWN, Dehradun, Uttarakhand
  Pin: 248002
  Contact Nos:
  Email: amansinghnegi57@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 61 61
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 69
English 100 83 83
   
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
08/2019 Football District level Runner up
12/2019 Football district level 4th position
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I joined coaching for imu CET for August 2021.
Why do you wish to join TMI?: Because TMI is best college in India for all courses.
What are your hobbies?: Playing football, reading books.
What are your strengths?: I have leadership skills, hardworking and a disciplined person.
What are your weaknesses?: My communication skills are weak but I already started working on my communication skills.
How do you intend to meet the expenses of this program?: Own Resources,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

 

___________________

Date ________________

 
Print Summary and Application Form