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: DNS2172624 Name: Muskan Bhardwaj
  Address: J-205 Harshwardhan Nagar
Telephone No.: Mobile no: 9669778870
E-mail: muskanbhardwajbpl@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425018765
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172624 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: DNS2172624
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Muskan Bhardwaj
Mother's Name: Madhu Bhardwaj
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 May 2003 Nationality: India
Place of Birth: Bhind Personal Identification Mark: None
Blood Group: B + Address for Communication: J-205 Harshwardhan Nagar
State: Madhya Pradesh Country: India
Pin: 462003 City/District: Bhopal
Mobile no: 9669778870 Telephone No. with STD code:
Aadhar Card No:261523033084 E-mail: muskanbhardwajbpl@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vishvjeet Bhardwaj Relationship with candidate: Father
Parents Date of Birth: 05 Jun 1966 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 4 Dayanand chowk Jumerati gate
Country: India State: Madhya Pradesh
City/District: Bhopal Pin: 462001
Tel: Mobile no.: 9669778870
Fax: Email: rahulandcompanybpl@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: St Marys convent sr sec school School: St Marys convent sr sec school
City: Bhopal City: Bhopal
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Centre code:
  Address of School/College: Tulsi nagar bhopal
  Pin: 462003
  Contact Nos:
  Email: stmary.2007@rediffmail.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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
07/2019 Poster making competition School level First
11/2017 Book Cover and Book Review competition School level Second
07/2016 English Handwriting competition School level Second
08/2014 WIZ National Spell Bee School level Consolation
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2015 Karate 1 month
04/2014 Art and craft 2 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would intend to spend my time with my family and friends. Also, I would work on myself.
Why do you wish to join TMI?: TMI is one of the best colleges for maritime education, with all good facilities and great placements.
What are your hobbies?: Reading, cooking, playing badminton.
What are your strengths?: Obedience, hardworking, patience.
What are your weaknesses?: My weaknesses include to be emotional and shy.
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