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: DNS2173277 Name: SHARMA ANKESH HIRALAL
  Address: Sangam chawl ambewadi l.b.s margh vikhroli west Mumbai 400083 Sangam chawl ambewadi l.b.s margh vikhroli west Mumbai 400083 Sangam chawl ambewadi l.b.s margh vikhroli west Mumbai 400083
Telephone No.: Mobile no: 8419918991
E-mail: ankeshs316@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment 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 DNS2173277 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: DNS2173277
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHARMA ANKESH HIRALAL
Mother's Name: HEMA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Aug 2002 Nationality: Indian
Place of Birth: GOKULA BIHA Personal Identification Mark: Darks skin
Blood Group: O - Address for Communication: Sangam chawl ambewadi l.b.s margh vikhroli west Mumbai 400083 Sangam chawl ambewadi l.b.s margh vikhroli west Mumbai 400083 Sangam chawl ambewadi l.b.s margh vikhroli west Mumbai 400083
State: Maharashtra Country: India
Pin: 400083 City/District: Mumbai
Mobile no: 8419918991 Telephone No. with STD code:
Aadhar Card No:244060068986 E-mail: ankeshs316@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: HIRALAL SHARMA Relationship with candidate: Father
Parents Date of Birth: 19 Mar 1975 Parent's/Guardian's Occupation/Designation: 10th pass
   
Office Address:
   
Address: Pentagon EL. Mech Pvt l.b.s margh vikhroli west Pentagon EL. Mech Pvt l.b.s margh vikhroli west
Country: India State: Maharashtra
City/District: Mumbai Pin: 400083
Tel: Mobile no.: 8850515934
Fax: Email: ankeshs316@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Veekay English high school School: KIRTI M DOONGURSEE COLLEGE
City: Vikhroli City: Mumbai
English %: 55 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Centre code:
  Address of School/College: KIRTI M DOONGURSEE COLLEGE KASHINATH DHUR Road , Dadar West Mumbai
  Pin: 400028
  Contact Nos:
  Email: ankeshsharma3021@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
10/2019 Cross country 5km District level 2nd
04/2019 Football Dso 4th
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Workout , studying for imucet
Why do you wish to join TMI?: Sponsorships for companies are more in Tmi
What are your hobbies?: Sports, football
What are your strengths?: Discipline
What are your weaknesses?: There no weakness because of discipline and yoga .
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

 

___________________

Date ________________

 
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