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: DNS2172883 Name: Abhishek
  Address: H no 548 333 Surya nagar manak nagar
Telephone No.: Mobile no: 7237091235
E-mail: eg.agarwal143@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426379298
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172883 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: DNS2172883
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abhishek
Mother's Name: Santosh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Nov 2003 Nationality: Indian
Place of Birth: LUCKNOW Personal Identification Mark: Cut mark in right leg toe
Blood Group: A + Address for Communication: H no 548 333 Surya nagar manak nagar
State: Uttar Pradesh Country: India
Pin: 226011 City/District: LUCKNOW
Mobile no: 7237091235 Telephone No. with STD code:
Aadhar Card No:504038117309 E-mail: eg.agarwal143@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dinesh Relationship with candidate: Father
Parents Date of Birth: 01 Feb 1957 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Village - nagla durga Post - aseh
Country: India State: Uttar Pradesh
City/District: KANNAUJ Pin: 209729
Tel: Mobile no.: 7237091235
Fax: Email: eg.agarwal143@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: ISCE
School: New public school School: New public school
City: LUCKNOW City: Lucknow
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: New public school , devpur , para , lucknow
  Pin: 226011
  Contact Nos:
  Email: a.abhi.abhishek143@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
04/2015 Takewondo Inter state level championship Broze medel
11/2018 Athelete Inter school level 3rd position
04/2015 Hindustan olympiad District level 169
08/2016 Bhartiya sanskrit gyan pariksha District Passed
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By listening song.. And i love running.. And outdoor sports
Why do you wish to join TMI?: Only tmi provided good atheletics ground as i have seen in the photos of tmi
What are your hobbies?: Running, listening song
What are your strengths?: Hard working, problem solver, communication skills.
What are your weaknesses?: I can not easily wake up in the morning
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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