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: DNS2172161 Name: Kanishk Shakya
  Address: 602 om sai appartment B-cabin road Ambernath East
Telephone No.: Mobile no: 9834782448
E-mail: kanishkshakya03@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 425198784
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172161 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: DNS2172161
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kanishk Shakya
Mother's Name: Hemlata kori
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Feb 2003 Nationality: Indian
Place of Birth: M.P Personal Identification Mark: Black mole on left leg
Blood Group: O + Address for Communication: 602 om sai appartment B-cabin road Ambernath East
State: Maharashtra Country: India
Pin: 421501 City/District: Thane
Mobile no: 9834782448 Telephone No. with STD code:
Aadhar Card No:797080529995 E-mail: kanishkshakya03@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ram Lal Kori Relationship with candidate: Father
Parents Date of Birth: 25 Feb 1958 Parent's/Guardian's Occupation/Designation: Retired
   
Office Address:
   
Address: MPF factory Ambernath West
Country: India State: Maharashtra
City/District: Thane Pin: 421501
Tel: Mobile no.: 9321092747
Fax: Email: ramlal.kori58@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya School: Kendriya Vidyalaya
City: Ambernath City: Ambernath
English %: 67 Board Roll No./Seat No.: 15621633
Aggregate Percentage: 63 School/College Code: 06747
  Centre code: 4621
  Address of School/College: Kendriya vidyalaya near ordnance factory posts office Ambernath West
  Pin: 421502
  Contact Nos: 9834782448
  Email: kanishkshakya03@gmail.com
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 62 62
Mathematics 100 53 53
Physics, Chemistry & Mathematics combined Percentage: 60
English 100 74 74
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I use to play a lot of mobile games and watching web shows And studying for further examination
Why do you wish to join TMI?: I know all the basic requirements of this field and also I my elder brother adviced to join TMI
What are your hobbies?: Adventure,gaming and riding bikes
What are your strengths?: Family
What are your weaknesses?: I do not have any weakness with my work but in case I found some,I will try to improve myself.
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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