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: DNS2172994 Name: MAYANK SHARMA
  Address: H-93, Gali no-6, Rajnagar II, Palam, New Delhi-110077
Telephone No.: 0118178849575 Mobile no: 8178849575
E-mail: mayanksharma88112@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: 425607204
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172994 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: DNS2172994
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MAYANK SHARMA
Mother's Name: Hemlata Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Jun 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: I have a mole on my left hand
Blood Group: B - Address for Communication: H-93, Gali no-6, Rajnagar II, Palam, New Delhi-110077
State: Delhi Country: India
Pin: 110077 City/District: New Delhi
Mobile no: 8178849575 Telephone No. with STD code: 0118178849575
Aadhar Card No:305887628510 E-mail: mayanksharma88112@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Satyaprakash Sharma Relationship with candidate: Father
Parents Date of Birth: 09 Jul 1985 Parent's/Guardian's Occupation/Designation: Contractor
   
Office Address:
   
Address: - -
Country: India State: Delhi
City/District: New Delhi Pin: 110077
Tel: Mobile no.: 6395379815
Fax: Email: mayanksharma88112@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttar Pradesh Board: CBSE
School: Kendriya Vidya Niketan School: Govt. Secondary School
City: Sihavali City: New Delhi
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: Palam Enclave, New Delhi-110045
  Pin: 110045
  Contact Nos:
  Email: mayanksharma88112@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 ?: I will prepare for imu cet .
Why do you wish to join TMI?: Good facility of education.
What are your hobbies?: Cricket
What are your strengths?: Best understanding power
What are your weaknesses?: Nothing
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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