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: DNS2172549 Name: Harsh Tyagi
  Address: B 281 Shalimar Garden Main Sahibabad Ghaziabad
Telephone No.: Mobile no: 9599426610
E-mail: tyagiharsh52@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425029196
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172549 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2172549
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harsh Tyagi
Mother's Name: Sangeeta Tyagi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Dec 2002 Nationality: Indian
Place of Birth: Andaman Personal Identification Mark: Cut on forehead
Blood Group: B + Address for Communication: B 281 Shalimar Garden Main Sahibabad Ghaziabad
State: Uttar Pradesh Country: India
Pin: 201005 City/District: Ghaziabad
Mobile no: 9599426610 Telephone No. with STD code:
Aadhar Card No:531560752473 E-mail: tyagiharsh52@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Deepak Tyagi Relationship with candidate: Father
Parents Date of Birth: 11 Dec 1972 Parent's/Guardian's Occupation/Designation: Banking
   
Office Address:
   
Address: Punjab National Bank Civil Lines Delhi
Country: India State: Delhi
City/District: Delhi Pin: 110052
Tel: Mobile no.: 9716311610
Fax: Email: tyagi174899@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Dashmesh Public school School: Diwakar Model school
City: Delhi City: Ghaziabad
English %: 57 Board Roll No./Seat No.:
Aggregate Percentage: 55 School/College Code:
  Centre code:
  Address of School/College: D-23/3,Shyam Park Extension,Sahibabad,Ghaziabad
  Pin: 201005
  Contact Nos:
  Email: school.diwakar500@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 ?: By preparing myself for expected future comings in terms of learning
Why do you wish to join TMI?: Because its a great platform for me to show off my skills and will give me work experience for future comings
What are your hobbies?: Playing cricket , casio
What are your strengths?: Smart working, flexible,creative focused
What are your weaknesses?: I focus on one work at a time
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

 

___________________

Date ________________

 
Print Summary and Application Form