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: DNS2173363 Name: Abhijeet Malik
  Address: Street no 7,Surya Nagar, Hisar,Haryana Street no 7, Surya Nagar, Hisar,Haryana
Telephone No.: Mobile no: 9017025605
E-mail: 002abhimalik@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 425308789
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173363 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: DNS2173363
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abhijeet Malik
Mother's Name: GEETA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Oct 2002 Nationality: INDIAN
Place of Birth: Hisar Personal Identification Mark: CUT ON FOREHEAD IN RIGHT
Blood Group: AB + Address for Communication: Street no 7,Surya Nagar, Hisar,Haryana Street no 7, Surya Nagar, Hisar,Haryana
State: Haryana Country: India
Pin: 125001 City/District: Hisar
Mobile no: 9017025605 Telephone No. with STD code:
Aadhar Card No:598715619966 E-mail: 002abhimalik@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vijender Singh Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: BUSINESSMAN
   
Office Address:
   
Address: Dabra chock, Hisar, Haryana Dabra chock, Hisar, Haryana
Country: India State: Haryana
City/District: Hisar Pin: 125001
Tel: Mobile no.: 9034689017
Fax: Email: bijendermalik71@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: New yashoda public school School: New yashoda public school
City: HISSAR City: HISSAR
English %: 80 Board Roll No./Seat No.: 17637456
Aggregate Percentage: 62 School/College Code: 530087
  Centre code: 4110
  Address of School/College: New yashoda public school, Hisar, Haryana
  Pin: 125001
  Contact Nos:
  Email: jangsher@nde.vsnl.net.in
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 78 78
Mathematics 100 69 69
Physics, Chemistry & Mathematics combined Percentage: 74.33
English 100 75 75
   
IMU CET Application Number: CETF21300272  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2017 Athletics 200meter School level 1st
11/2018 Football tournament School level 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I was preparing for entrance exams to join merchant navy and meanwhile took admission in Electronics and communication engineering diploma to utilise my time.
Why do you wish to join TMI?: Tolani maritime Institute established in 1998 is one of the best maritime training colleges in India and getting trained as a deck cadet at such premier institute will give a great start to my career.
What are your hobbies?: I like playing outdoor games
What are your strengths?: I am hard working, punctual and a team player
What are your weaknesses?: Over relying on others
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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