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: DNS2173049 Name: Shivam saini
  Address: 953, infront of new sadar tehseel, shivaji nagar, jhansi Shivaji nagar, jhansi
Telephone No.: 6394427831 Mobile no: 6394427831
E-mail: shivam6394427@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425186175
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173049 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: DNS2173049
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shivam saini
Mother's Name: Meena saini
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 May 2002 Nationality: Indian
Place of Birth: Jhansi Personal Identification Mark: Mole on left cheek and left leg
Blood Group: B + Address for Communication: 953, infront of new sadar tehseel, shivaji nagar, jhansi Shivaji nagar, jhansi
State: Uttar Pradesh Country: India
Pin: 284001 City/District: Jhansi
Mobile no: 6394427831 Telephone No. with STD code: 6394427831
Aadhar Card No: E-mail: shivam6394427@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajkumar saini Relationship with candidate: Father
Parents Date of Birth: 01 May 1968 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 953, infront of new sadar tehseel, shivaji nagar, jhansi Shivaji nagar, jhansi
Country: India State: Uttar Pradesh
City/District: Jhansi Pin: 284001
Tel: 9838530868 Mobile no.: 6394427831
Fax: Email: shivam6394427@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Gyan sthaly public school School: Gyan sthaly public school
City: Jhansi City: Jhansi
English %: 71 Board Roll No./Seat No.: 23652105
Aggregate Percentage: 062 School/College Code: 70696
  Centre code: 7144
  Address of School/College: Shivaji nagar, Jhansi
  Pin: 284002
  Contact Nos:
  Email: shivam6394427@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 79 79
Mathematics 100 67 67
Physics, Chemistry & Mathematics combined Percentage: 73
English 100 71 71
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing some extra circular activity like pencil sketching, working out at gym and preparing for IMU-CET examination
Why do you wish to join TMI?: Because it is one of the best institutes and its placement is very good.
What are your hobbies?: sketching, working out
What are your strengths?: self motivated, hard working and quick learner
What are your weaknesses?: over tinking
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 Class XII marksheet
 
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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