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: DNS2173132 Name: a
  Address: a a a
Telephone No.: Mobile no: 9604011058
E-mail: seemaj@tmi.tolani.edu  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173132 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2173132
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: a
Mother's Name: a
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Sep 2001 Nationality: INDIAN
Place of Birth: a Personal Identification Mark: NA
Blood Group: O + Address for Communication: a a a
State: Maharashtra Country: India
Pin: 410507 City/District: pune
Mobile no: 9604011058 Telephone No. with STD code:
Aadhar Card No: E-mail: seemaj@tmi.tolani.edu
 
Guardian's Particulars:
 
Name of Parent/Guardian: a Relationship with candidate: a
Parents Date of Birth: 01 Jan 1969 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: ABC XYZ ABC
Country: India State: Maharashtra
City/District: Mumbai Pin: 421202
Tel: 09604011059 Mobile no.: 9604011059
Fax: Email: kanchanjaya55@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: a School: a
City: a City: a
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: a
  Pin: 410507
  Contact Nos:
  Email: alansiju2526143@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 ?: a
Why do you wish to join TMI?: a
What are your hobbies?: a
What are your strengths?: Acceptance , ready to do hard work, confidence
What are your weaknesses?: a
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

 

___________________

Date ________________

 
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