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: DNS2171142 Name: Saket Sharma
  Address: V.P.O Niar Tehsil-Jaswan District- Kangra
Telephone No.: 01970-276024 Mobile no: 8851333689
E-mail: saketsharma2107@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 422721896
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2171142 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 - 2021

 
  Dossier ID: DNS2171142
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Saket Sharma
Mother's Name: Bala Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jul 2003 Nationality: Indian
Place of Birth: Niar Personal Identification Mark: Cut on Forehead
Blood Group: B - Address for Communication: V.P.O Niar Tehsil-Jaswan District- Kangra
State: Himachal Pradesh Country: India
Pin: 177112 City/District: Kangra
Mobile no: 8851333689 Telephone No. with STD code: 01970-276024
Aadhar Card No:417867754723 E-mail: saketsharma2107@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dinesh Kumar Relationship with candidate: Father
Parents Date of Birth: 08 May 1973 Parent's/Guardian's Occupation/Designation: Accontant
   
Office Address:
   
Address: B-42 ,Sarvodya Enclave New Delhi
Country: India State: Delhi
City/District: Delhi Pin: 110017
Tel: Mobile no.: 9999130124
Fax: Email: sharmadineshkumar1973@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Himachal Pradesh
School: D.A.V. Public Model School Kalu Di Bar School: D.A.V.Public Model School Kalu Di Bar
City: Kalu Di Bar City: Kalu Di Bar
English %: 72 Board Roll No./Seat No.: 2044486026
Aggregate Percentage: 65 School/College Code: 4486
  Centre code: 12025
  Address of School/College: Kalu Di Bar Teh.Amb District Una Himachal Pradesh
  Pin: 177110
  Contact Nos:
  Email: davmkdb@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 088 88
Chemistry 100 076 76
Mathematics 100 074 74
Physics, Chemistry & Mathematics combined Percentage: 79.33
English 100 089 89
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After 12th I intend to spend my time in preperation of IMU CET exam and learning the household works
Why do you wish to join TMI?: Sir, I want to join TMI because it is the best institute in India for the DNS program . It has a good placement and good teachers with a great knowledge to students .
What are your hobbies?: My hobbies is to play cricket
What are your strengths?: My mom and dad , honesty, respectfullness are my strengths
What are your weaknesses?: No
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

 

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Date ________________

 
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