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: DNS2173389 Name: BHARAT SHARMA
  Address: village gupwal po vijaypur tehsil vijaypur dsitrict samba village gupwal po vijaypur tehsil vijaypur dsitrict samba
Telephone No.: Mobile no: 7006338597
E-mail: bs162825@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425959737
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173389 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: DNS2173389
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BHARAT SHARMA
Mother's Name: ANJU KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Oct 2001 Nationality: INDIAN
Place of Birth: JAMMU Personal Identification Mark: MOLE ON LEFT SHOULDER
Blood Group: B + Address for Communication: village gupwal po vijaypur tehsil vijaypur dsitrict samba village gupwal po vijaypur tehsil vijaypur dsitrict samba
State: Jammu and Kashmir Country: India
Pin: 184120 City/District: samba
Mobile no: 7006338597 Telephone No. with STD code:
Aadhar Card No:936122153230 E-mail: bs162825@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: GIRDHARI LAL Relationship with candidate: FATHER
Parents Date of Birth: 24 Aug 1968 Parent's/Guardian's Occupation/Designation: DRAFTER
   
Office Address:
   
Address: vijaypur po vijaypur tehsil vijaypur district samba village gupwal po vijaypur tehsil vijaypur dsitrict samba
Country: India State: Jammu and Kashmir
City/District: samba Pin: 184120
Tel: Mobile no.: 9622046680
Fax: Email: bs162825@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Jammu & Kashmir Board: Jammu & Kashmir
School: jyoti public higher secondary school vijaypur School: Jyoti public higher secondary school vijaypur
City: vijaypur City: vijaypur
English %: 83 Board Roll No./Seat No.: 6509730
Aggregate Percentage: 90 School/College Code: nil
  Centre code: 6509
  Address of School/College: vijaypur po vijaypur tehsil vijaypur district samba
  Pin: 184120
  Contact Nos:
  Email: bs162825@gmail.com
  Aggregate Percentage: 89
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 91 91
Chemistry 100 86 86
Mathematics 100 96 96
Physics, Chemistry & Mathematics combined Percentage: 91
English 100 84 84
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i want to spend most of my time in travelling and visiting different places
Why do you wish to join TMI?: beacuse joining this institute have better faculty and placement
What are your hobbies?: playing volleyball
What are your strengths?: i can handle every situation easily
What are your weaknesses?: not an early riser
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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