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: DNS2173333 Name: VISHAL
  Address: H.NO.1028 V.P.O. PAKASMA
Telephone No.: 7015189607 Mobile no: 9416971166
E-mail: ranav1601@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425208616
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173333 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: DNS2173333
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VISHAL
Mother's Name: DARSHANA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Nov 2001 Nationality: INDIAN
Place of Birth: PAKASMA Personal Identification Mark: CUT MARK ON RIGHT CHEEK
Blood Group: O + Address for Communication: H.NO.1028 V.P.O. PAKASMA
State: Haryana Country: India
Pin: 124401 City/District: PAKASMA
Mobile no: 9416971166 Telephone No. with STD code: 7015189607
Aadhar Card No:915813416018 E-mail: ranav1601@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SATBIR SINGH Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1972 Parent's/Guardian's Occupation/Designation: GOVERNMENT EMPLOYEE
   
Office Address:
   
Address: H.NO.1028 V.P.O. PAKASMA
Country: India State: Haryana
City/District: ROHTAK Pin: 124401
Tel: Mobile no.: 7015189607
Fax: Email: ranasatbir931@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: GREENLAND SENIOR SECONDARY PUBLIC SCHOOL School: AMITY INTERNATIONAL SCHOOL
City: ROHTAK City: NEW DELHI
English %: 88 Board Roll No./Seat No.: 14621374
Aggregate Percentage: 92 School/College Code: 25173
  Centre code: DL01845
  Address of School/College: SEC 7 PUSHP VIHAR, SAKET, NEW DELHI
  Pin: 110017
  Contact Nos:
  Email: principal@aispv.amity.edu
  Aggregate Percentage: 90
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 90 90
Chemistry 100 86 86
Mathematics 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 87.67
English 100 95 95
   
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
08/2017 Drawing compitition school 3rd
12/2017 100 meter race school 1st
10/2019 sports meet school 1st
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
07/2017 scout training 1 week
11/2020 communication skills 3 week
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After my 12th exams i started helping in household work, as i was preparing for jee mains so most of time i spent in studies and rest of some time in doing physical activities.
Why do you wish to join TMI?: i came to know about TMI from my relatives, after that i searched about TMI and found its a good institute for my courses. thats why i wanted to join TMI for my bright future.
What are your hobbies?: Doing physical activities, reading books and watching science fiction movies
What are your strengths?: I am social, humble, responsible, honest and dutiful.
What are your weaknesses?: i have a little fear of public speaking.
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
 
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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