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: DNS2172381 Name: ASMIT VERMA
  Address: 70, CHOUDHARY TOLA OLD SITAPUR 70 , CHOUDHARY TOLA OLD SITAPUR 70 , CHOUDHARY TOLA OLD SITAPUR
Telephone No.: Mobile no: 8957946879
E-mail: asmitvermanavy2002@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424817120
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172381 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: DNS2172381
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ASMIT VERMA
Mother's Name: MEENAKSHI VERMA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Feb 2002 Nationality: INDIAN
Place of Birth: SITAPUR Personal Identification Mark: MOLE ON STOMACH
Blood Group: B - Address for Communication: 70, CHOUDHARY TOLA OLD SITAPUR 70 , CHOUDHARY TOLA OLD SITAPUR 70 , CHOUDHARY TOLA OLD SITAPUR
State: Uttar Pradesh Country: India
Pin: 261001 City/District: SITAPUR
Mobile no: 8957946879 Telephone No. with STD code:
Aadhar Card No:566438417387 E-mail: asmitvermanavy2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DINESH KUMAR VERMA Relationship with candidate: FATHER
Parents Date of Birth: 15 Oct 1976 Parent's/Guardian's Occupation/Designation: GOVERNMENT EMPLOYEE
   
Office Address:
   
Address: 70 , CHOUDHARY TOLA OLD SITAPUR 70 , CHOUDHARY TOLA OLD SITAPUR 70 , CHOUDHARY TOLA OLD SITAPUR
Country: India State: Uttar Pradesh
City/District: SITAPUR Pin: 261001
Tel: Mobile no.: 9455441133
Fax: Email: ASMITVERMANAVY2002@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: KENDRIYA VIDYALAYA SITAPUR School: KENDRIYA VIDYALAYA ALIGANJ LUCKNOW
City: SITAPUR City: LUCKNOW
English %: 85 Board Roll No./Seat No.: 5711793
Aggregate Percentage: 89 School/College Code: 08665
  Centre code: 5256
  Address of School/College: KENDRIYA VIDYALAYA ALIGANJ LUCKNOW SECTOR A , LUCKNOW , UTTAR PRADESH , 226024
  Pin: WG
  Contact Nos: 8957946879
  Email: ASMITVERMANAVY2002@GMAIL.COM
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 69 69
Mathematics 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 74
English 100 75 75
   
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
08/2015 BADMINTON REGIONAL LEVEL FIRST
08/2016 BADMINTON REGIONAL LEVEL FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: AFTER COMPLETING CLASS 12TH IT IS THE BEST TIME TO THINK AND DECIEDE ABOUT FUTURE CAREER PATH AND WORKED ON OUR HOBBIES BECAUSE IT IS THE BEST TIME TO EXPLORE YOUR HIDDEN TALENT AND LEARN SOMETHING THAT I TRULY LOVE .
Why do you wish to join TMI?: I WANT TO JOIN THIS INSTITUTE BECAUSE IT PROVIDE GRATE PLACEMENT AND ONE OF THE BEST EDUCATIONAL CENTER
What are your hobbies?: DRAWING , ART , PLAYING BADMINTON , VEDIO EDITING ,
What are your strengths?: I AM A QUICK LEARNER AND A GREAT TEAM PLAYER
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
 
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
 
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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