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: DNS2172007 Name: Kartik Sharma
  Address: Prem niwas house number 2 Near boileauganj
Telephone No.: 7807477031 Mobile no: 7807477031
E-mail: sharma.kartik2296@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424639616
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172007 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: DNS2172007
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kartik Sharma
Mother's Name: Vandana Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 May 2003 Nationality: Indian
Place of Birth: Shimla Personal Identification Mark: Mole on left arm below elbow
Blood Group: O + Address for Communication: Prem niwas house number 2 Near boileauganj
State: Himachal Pradesh Country: India
Pin: 171005 City/District: SHIMLA
Mobile no: 7807477031 Telephone No. with STD code: 7807477031
Aadhar Card No:828170340330 E-mail: sharma.kartik2296@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vandana Sharma Relationship with candidate: Mother
Parents Date of Birth: 22 Dec 1974 Parent's/Guardian's Occupation/Designation: Business Women
   
Office Address:
   
Address: Shop number 27 Sharda Restaurant Main Bazaar
Country: India State: Himachal Pradesh
City/District: Shimla Pin: 171005
Tel: Mobile no.: 8894122004
Fax: Email: kitusharma2111@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: D.A.V SR SEC PUB School School: D.A.V SR SEC PUB School
City: Shimla City: Shimla
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: D.A.V SR SEC PUB School Lakkar Bazaar, Ritz Sanjauli Road, 171001, Shimla, Himachal Pradesh
  Pin: 171017
  Contact Nos: 01772807585
  Email: davlkbshimla@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
04/2019 Soccer Inter School 1st
04/2019 Cycling Inter District 3rd
04/2018 Gaming Inter School 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will be utilizing my time for acquiring new skills that will help in my professional life. Also will be gathering the information required for the field i want to go in.
Why do you wish to join TMI?: TMI as it is obviously the best institute in India or even Asia for Marine Courses. I have developed the quality of adaptation which is a key requirement for this field.
What are your hobbies?: Cycling, Soccer, Trekking
What are your strengths?: Mentally and Physically Strong, Self Control, Communication,
What are your weaknesses?: Being too detail- oriented
How do you intend to meet the expenses of this program?: 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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