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: DNS2173028 Name: Pratham Dhyani
  Address: Plot No. 117 SF-2 AVANTIKA Ghaziabad Uttar Pradesh
Telephone No.: Mobile no: 7838535745
E-mail: dhyanipratham@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 425101710
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173028 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: DNS2173028
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Pratham Dhyani
Mother's Name: Nisha Dhyani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: Indian
Place of Birth: Ghaziabad Personal Identification Mark: Cut mark on left eyebrow
Blood Group: O + Address for Communication: Plot No. 117 SF-2 AVANTIKA Ghaziabad Uttar Pradesh
State: Uttar Pradesh Country: India
Pin: 201001 City/District: Ghaziabad
Mobile no: 7838535745 Telephone No. with STD code:
Aadhar Card No:634746732667 E-mail: dhyanipratham@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjeev Kumar dhyani Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Service men
   
Office Address:
   
Address: Plot No 117 SF 2 Avantika Ghaziabad
Country: India State: Uttar Pradesh
City/District: Ghaziabad Pin: 201001
Tel: Mobile no.: 7838535745
Fax: Email: dhyanipratham@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: CHAUDHARY CHHABIL DASS PUBLIC SCHOOL School: CHAUDHARY CHHABIL DASS PUBLIC SCHOOL
City: Ghaziabad City: Ghaziabad
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Centre code:
  Address of School/College: CHAUDHARY CHHABIL DASS PUBLIC SCHOOL PATEL NAGAR SECOND GHAZIABAD UTTAR PRADESH
  Pin: 201001
  Contact Nos: 7838535745
  Email: dhyanipratham@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
11/2019 Power point presentation competition Carbon footprints District level 2
04/2018 best in the game talent hunt district level 5
09/2018 sports day inter school 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend this time in a productive manner by devoting each and every day towards character / personality development through activities like reading books, improving communication ability and daily excercising . I would also like to enjoy my hobbies and travel during this period
Why do you wish to join TMI?: I wish to join TMI as it is one of the premier institutes in the maritime industry and renowned for its great efforts in shaping maritime future through quality education and guidance
What are your hobbies?: Playing badminton , chess and singing
What are your strengths?: discipline , dedication , leadership
What are your weaknesses?: lack of patience , inability to say no
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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