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: DNS2171157 Name: RISHABH BHARDWAJ
  Address: NEAR HOTEL SILVER MOON HIMACHAL PRADESH HN 42 NEAR HOTEL SILVERMOON SHASTRINAGAR KULLU
Telephone No.: Mobile no: 7018808581
E-mail: rishab878787@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 422713414
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2171157 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: DNS2171157
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RISHABH BHARDWAJ
Mother's Name: RITU
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Dec 2003 Nationality: HINDU
Place of Birth: KULLU Personal Identification Mark: BIRTHMARK
Blood Group: O + Address for Communication: NEAR HOTEL SILVER MOON HIMACHAL PRADESH HN 42 NEAR HOTEL SILVERMOON SHASTRINAGAR KULLU
State: Himachal Pradesh Country: India
Pin: 175101 City/District: KULLU
Mobile no: 7018808581 Telephone No. with STD code:
Aadhar Card No:573105478859 E-mail: rishab878787@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJESH KUMAR Relationship with candidate: MARRIED
Parents Date of Birth: 07 Apr 1976 Parent's/Guardian's Occupation/Designation: TRANSPORTER
   
Office Address:
   
Address: NEAR HOTEL SILVER MOON HIMACHAL PRADESH HN 42 NEAR HOTEL SILVERMOON SHASTRINAGAR KULLU
Country: India State: Himachal Pradesh
City/District: KULLU Pin: 175101
Tel: Mobile no.: 9816141007
Fax: Email: rk8611774@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Himachal Pradesh Board: Himachal Pradesh
School: TRINITY SCHOOL School: ARUNODAYA SEN SEC SCHOOL
City: KULLU City: KULLU
English %: 47 Board Roll No./Seat No.:
Aggregate Percentage: 51 School/College Code:
  Centre code:
  Address of School/College: Mohal Kullu himachal Pradesh
  Pin: 175101
  Contact Nos:
  Email: arunodayakullu@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Firstly I will Prepare for IMUCET EXAM 2021 Than if i will clear imucet than i will join TMI
Why do you wish to join TMI?: Because it is best college in india i will choose tolani for dns course
What are your hobbies?: PLAYING BASKETBALL
What are your strengths?: PARENTS
What are your weaknesses?: MOBILE
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 Class XII admit card 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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