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: DNS2173012 Name: Dhruv goyal
  Address: FLAT 302 THIRD FLOOR KH.NO. 40/3/1 NANGLOI EXT. DELHI 110041
Telephone No.: Mobile no: 8368285386
E-mail: goyaldhruv876@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: 425426924
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173012 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: DNS2173012
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dhruv goyal
Mother's Name: Anshuka Goyal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Oct 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: Mole on neck
Blood Group: B + Address for Communication: FLAT 302 THIRD FLOOR KH.NO. 40/3/1 NANGLOI EXT. DELHI 110041
State: Delhi Country: India
Pin: 110041 City/District: New Delhi West
Mobile no: 8368285386 Telephone No. with STD code:
Aadhar Card No:731213529811 E-mail: goyaldhruv876@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJESH GOYAL Relationship with candidate: FATHER
Parents Date of Birth: 31 May 1976 Parent's/Guardian's Occupation/Designation: business man
   
Office Address:
   
Address: EXTN.-4PLOT NO.-2 KHASRA NO.9/1NEAR DAULAT RAM PUBLICE SCHOOL NANGLOI
Country: India State: Delhi
City/District: New Delhi West Pin: 110041
Tel: Mobile no.: 9136238210
Fax: Email: rajeshgoyal91362@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: GITARATTAN JINDAL PUBLIC SCHOOL School: GITARATTAN JINDAL PUBLIC SCHOOL
City: New Delhi City: New Delhi
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: Pocket 15, Sector 7D, Rohini, Delhi, 110085
  Pin: 110085
  Contact Nos:
  Email: gitarattan2015@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: STUDYING FOR IMUCET AND Enroll Into Swimming Lessons
Why do you wish to join TMI?: best Maritime academy in India with the maximum training, knowledge and placement percentaGE
What are your hobbies?: Reading novels,Video games
What are your strengths?: Honesty,Self-motivation
What are your weaknesses?: Public speaking,Shyness
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

 

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Date ________________

 
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