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: DNS2172518 Name: DHRUV RAIKWAR
  Address: Preetam Nagar Nanak ward Near Airtel Tower, BINA
Telephone No.: Mobile no: 6265606486
E-mail: dhruvraikwar14@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172518 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: DNS2172518
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DHRUV RAIKWAR
Mother's Name: Sheela Raikwar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Dec 2003 Nationality: INDIAN
Place of Birth: Bina Personal Identification Mark: Mol mark on left hand palm
Blood Group: A + Address for Communication: Preetam Nagar Nanak ward Near Airtel Tower, BINA
State: Madhya Pradesh Country: India
Pin: 470113 City/District: BINA SAGAR
Mobile no: 6265606486 Telephone No. with STD code:
Aadhar Card No:351795979353 E-mail: dhruvraikwar14@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: GANESH PRASAD RAIKWAR Relationship with candidate: Father
Parents Date of Birth: 05 May 1959 Parent's/Guardian's Occupation/Designation: WORKS IN INDIAN RAILWAYS
   
Office Address:
   
Address: Railway memu shed Bina mp
Country: India State: Madhya Pradesh
City/District: Bina Pin: 470113
Tel: Mobile no.: 9179318834
Fax: Email: ganeshraikwar9000@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Madhya Pradesh Board: CBSE
School: BINA PUBLIC HR. SEC.SCHOOL GULLAUA ROAD BINA School: GOMTI NANDAN PUBLIC SCHOOL GANDHI WARD BINA
City: BINA City: BINA
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Centre code:
  Address of School/College: GANDHI WARD BINA, SAGAR, MADHYA PRADESH
  Pin: 470113
  Contact Nos:
  Email: gnps.bina@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Working on my hobbies Preparing for entrance exam Learning something new and msy be travelling also if covid 19 may not affect
Why do you wish to join TMI?: At present, TMI is one of the best maratime institute across india and it also provides best traning, studies and sports facilities And another big reason is that, most of the big companies visit tmi for dns sponsorship
What are your hobbies?: I usually like to solve rubix cube puzzle game and also sketch making of anemies is my hobby
What are your strengths?: Since a middle class person can work hard so I can work hard and also I am good in my studies
What are your weaknesses?: I can not say anyone NO for anything which is good but I think in some places it my weakness
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.
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