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: DNS2171179 Name: Chandni kumari
  Address: 28 anand nagar B Near durga shiv mandir
Telephone No.: Mobile no: 8168930390
E-mail: chandniprasad777@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 434447276
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2171179 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: DNS2171179
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Chandni kumari
Mother's Name: Roma sagar
Gender (M/F): Female Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 07 Feb 2003 Nationality: Indian
Place of Birth: suratgarh Personal Identification Mark: Mole on upper lip
Blood Group: O + Address for Communication: 28 anand nagar B Near durga shiv mandir
State: Haryana Country: India
Pin: 133021 City/District: Amabala cantt
Mobile no: 8168930390 Telephone No. with STD code:
Aadhar Card No:858368548538 E-mail: chandniprasad777@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Madhusudan prasad Relationship with candidate: Father
Parents Date of Birth: 05 Feb 1968 Parent's/Guardian's Occupation/Designation: Service man
   
Office Address:
   
Address: 28 anand nagar B Near durga shiv mandir
Country: India State: Haryana
City/District: Ambala cantt Pin: 133021
Tel: Mobile no.: 9736598547
Fax: Email: madhusudan845449@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: D C MODEL HIGH SCH KISMAT NGR AMBALA CANTT HRY School: D C MODEL HIGH SCH
City: Ambala cantt City: Ambala cantt
English %: 76 Board Roll No./Seat No.: 2101751
Aggregate Percentage: 80 School/College Code: 03905
  Centre code: 2004
  Address of School/College: Kismat ngr ambala cantt hry
  Pin: 133005
  Contact Nos: 09992525930
  Email: dcmodelschool@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
18/11/2015 Race 400M Under 13 First
2017-18 Academic excellence award Class 9 A
15/10/2010 Painting 2 nd class First
29/08/2009 Balloon race 1st class First
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing speed reading course
Why do you wish to join TMI?: Sir I want to join TMI as its is obviously best institute institute in India or Jivan Asia for Marine Engineering and also because I find myself suitable candidate for this field as I am not much social
What are your hobbies?: Art
What are your strengths?: I am a quick learner, Attitude of self control,responsibility
What are your weaknesses?: I concentrate at one thing at a time
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

 

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Date ________________

 
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