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: DNS2172160 Name: Abhay Thakur
  Address: Village Dehra Tanda Post office Hatwar Tehsil Ghumarwin Village Dehra Tanda Post office Hatwar Tehsil Ghumarwin
Telephone No.: Mobile no: 7807404638
E-mail: abhaythakur0906@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425503043
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172160 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: DNS2172160
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abhay Thakur
Mother's Name: Shakuntla Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Sep 2001 Nationality: Indian
Place of Birth: Himachal Personal Identification Mark: A cut mark on forehead
Blood Group: A + Address for Communication: Village Dehra Tanda Post office Hatwar Tehsil Ghumarwin Village Dehra Tanda Post office Hatwar Tehsil Ghumarwin
State: Himachal Pradesh Country: India
Pin: 174028 City/District: Bilaspur
Mobile no: 7807404638 Telephone No. with STD code:
Aadhar Card No:892508491748 E-mail: abhaythakur0906@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kuldeep Singh Relationship with candidate: Father
Parents Date of Birth: 25 Apr 1963 Parent's/Guardian's Occupation/Designation: Exservice Man
   
Office Address:
   
Address: Village Dehra Tanda Post Office Hatwar Tehsil ghumarwin Village Dehra Tanda Post Office Hatwar Tehsil ghumarwin
Country: India State: Himachal Pradesh
City/District: Bilaspur Pin: 174028
Tel: Mobile no.: 9704232294
Fax: Email: kuldeepsinghthakur1968@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: Himachal Pradesh
School: Navy Children School School: Him Academy Public School
City: Visakhapatnam City: Hamirpur
English %: 80 Board Roll No./Seat No.: 1841573075
Aggregate Percentage: 74 School/College Code: 1573
  Centre code: 8
  Address of School/College: Hira Nagar, Hamirpur, Himachal Pradesh
  Pin: 177001
  Contact Nos:
  Email: hapshn@himacademy.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 76 76
Mathematics 100 49 49
Physics, Chemistry & Mathematics combined Percentage: 66
English 100 90 90
   
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
10/2017 NSS National certificate
02/2015 100percent attendance School certificate
01/2014 100percent attendance School certificate
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2019 NCC 2 Years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i worked on my strengths and weaknesses and also took classes of my younger brother
Why do you wish to join TMI?: i want to do DNS course and its a perfect college to do course from.
What are your hobbies?: collecting stamps and old coins, collecting Indian Naval Ships information, swimming, travelling, playing outdoor games
What are your strengths?: honest, friendly nature, self control, disciplined, confident
What are your weaknesses?: easily trust others, not satisfied easily, kind nature, little shy
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
 
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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