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: DNS2172840 Name: SHIVAM
  Address: RZ-75 J Block Dharampura Najafgarh New delhi
Telephone No.: 9718918863 Mobile no: 9718918863
E-mail: shivamkaushik8750856397@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425276154
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172840 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: DNS2172840
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHIVAM
Mother's Name: OMWATI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Dec 2002 Nationality: INDIAN
Place of Birth: Delhi Personal Identification Mark: MOLE ON RIGHT HAND FINGER
Blood Group: AB - Address for Communication: RZ-75 J Block Dharampura Najafgarh New delhi
State: Delhi Country: India
Pin: 110043 City/District: South West Delhi
Mobile no: 9718918863 Telephone No. with STD code: 9718918863
Aadhar Card No:540415625479 E-mail: shivamkaushik8750856397@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MUKESH KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 23 Mar 1969 Parent's/Guardian's Occupation/Designation: SELF EMPLOYED
   
Office Address:
   
Address: RZ-. 2 c block roshanpura Najafgarh New Delhi
Country: India State: Delhi
City/District: South West Delhi Pin: 110043
Tel: 09718918863 Mobile no.: 8750856397
Fax: Email: versha110043@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Rao man singh public school School: Golden Valley public school
City: Delhi City: Delhi
English %: 73 Board Roll No./Seat No.: 14636020
Aggregate Percentage: 68 School/College Code: 25332
  Centre code: 2730318
  Address of School/College: Todarmal colony Najafgarh
  Pin: 110043
  Contact Nos:
  Email: gvpssps2010@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 88 88
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 81.67
English 100 83 83
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By doing exercise and preparing for sponsership and imu cet
Why do you wish to join TMI?: Because it is one of the best institute.
What are your hobbies?: My hobby is playing games.
What are your strengths?: Focused only on one thing at a time to give100 percent in it.
What are your weaknesses?: I trust on people easily
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

 

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Date ________________

 
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