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: DNS2173219 Name: Swapnil dubey
  Address: B-722,SECTOR-13 NIGAHI
Telephone No.: 07987732102 Mobile no: 7987732102
E-mail: swapnildubey3636@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425392929
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173219 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: DNS2173219
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Swapnil dubey
Mother's Name: Pushpa dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Aug 2002 Nationality: Indian
Place of Birth: SINGRAULI Personal Identification Mark: Mole on face
Blood Group: O + Address for Communication: B-722,SECTOR-13 NIGAHI
State: Madhya Pradesh Country: India
Pin: 486884 City/District: SINGRAULI
Mobile no: 7987732102 Telephone No. with STD code: 07987732102
Aadhar Card No:577376770147 E-mail: swapnildubey3636@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: pravin kumar dubey Relationship with candidate: father
Parents Date of Birth: 28 Dec 1971 Parent's/Guardian's Occupation/Designation: service
   
Office Address:
   
Address: CGM OFFICE NIGAHI
Country: India State: Madhya Pradesh
City/District: SINGRAULI Pin: 486884
Tel: Mobile no.: 9425180434
Fax: Email: pravindubey1971@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Madhya Pradesh
School: SEHWAG INTERNATIONAL SCHOOL School: MAHARANI LAKSHMI BAI HIGHER SECONDARY SCHOOL
City: JHAJJAR City: SINGRAULI
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Centre code:
  Address of School/College: MAHARANI LAKSHMI BAI HIGHER SECONDARY SCHOOL, BARGAWAN, SINGRAULI
  Pin: 486886
  Contact Nos:
  Email: swapnildubey3636@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
04/2016 CRICKET DISTRICT 2
10/2018 BASKETBALL INTER HOUSE 1
10/2018 SHOT PUT INTER HOUSE 1
04/2015 TAEKWONDO DISTRICT NA
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2014 TAKEWONDO 2YEAR
05/2013 TRUMPET 3YEAR
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I AM PROACTIVELY LOOKING INTO VARIOUS COLLEGES AND APPLYING FOR THEM. AND DO WORKOUT AND SPENDING TIME WITH MY FAIMILY
Why do you wish to join TMI?: I WANT TO PERSUE CARRER IN MERCHANT NAVY AND TMI IS INDIAS ONE OF THE LEADING INSTITUE WHICH WILL HELP ME TO PERSUE MY GOAL. AND ALSO PROVIDE GOOD FACILITIES IN EVERY ASPECT.
What are your hobbies?: I LIKE TO PLAY CRICKET, I LIKE TO DO WORKOUT/YOGA .
What are your strengths?: I LOOK INTO POSITIVE ASPECT OF OTHER PEOPLE, I ADAPT EASILY WITH THE CHANGE. , I AM OPTIMISTIC.
What are your weaknesses?: I AM EXTROVERT WHICH SOMETIMES PROVE TO DISADVANTAGES, I TRUST PEOPLE EASILIY,
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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