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: DNS2173293 Name: Aditya Vishal Tiwari
  Address: Quarter No. 2A/8, Road No. 8, Camp 2 Near civil court, head post office- sector 2, Bokaro Steel City
Telephone No.: Mobile no: 7992307609
E-mail: adityatiwari09092003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 425258032
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173293 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: DNS2173293
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Vishal Tiwari
Mother's Name: Abha Tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Sep 2003 Nationality: Indian
Place of Birth: Bokaro Personal Identification Mark: A small scar in right hand
Blood Group: B + Address for Communication: Quarter No. 2A/8, Road No. 8, Camp 2 Near civil court, head post office- sector 2, Bokaro Steel City
State: Jharkhand Country: India
Pin: 827001 City/District: BOKARO
Mobile no: 7992307609 Telephone No. with STD code:
Aadhar Card No:672111528524 E-mail: adityatiwari09092003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ramesh Kumar Tiwari Relationship with candidate: Father
Parents Date of Birth: 22 Mar 1968 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Sahara India, Jail road, Pathpur PO/PS/District- Bankura
Country: India State: West Bengal
City/District: Bankura Pin: 722101
Tel: Mobile no.: 7992307609
Fax: Email: adityatiwari0909200@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: ISCE
School: MDB DAV PUBLIC SCHOOL School: St. Xaviers School
City: BANKURA City: BOKARO STEEL CITY
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: SECTOR - 1, BOKARO STEEL CITY, JHARKHAND
  Pin: 827001
  Contact Nos:
  Email: info@xaviersbokaro.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 Science Exhibition SCHOOL LEVEL 3rd
12/2018 Karate DAV NATIONAL LEVEL NA
10/2018 Karate DAV ZONAL LEVEL 1st
09/2019 Chess DISTRICT LEVEL NA
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
10/2017 Physical training camp 5 days
04/2011 Painting 4 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will work more on my physique and I will also try to learn more about the course which I am going to pursue in college.
Why do you wish to join TMI?: TMI is the best marine institute in Asia. It has the best faculty and infrastructure for quality education and training.
What are your hobbies?: Badminton and Video gaming
What are your strengths?: punctuality, discipline and team leadership
What are your weaknesses?: obsession for tasty food
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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