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: DNS2173584 Name: Rishav Sharma
  Address: Vpo- Bianpur City- Dinanager District- Gurdaspur State- Punjab Pin code- 143533
Telephone No.: Mobile no: 7087374947
E-mail: rishav2002sha@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426061454
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173584 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: DNS2173584
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rishav Sharma
Mother's Name: Ajudhya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Apr 2002 Nationality: Indian
Place of Birth: Bianpur Personal Identification Mark: Black spot shoulder
Blood Group: A + Address for Communication: Vpo- Bianpur City- Dinanager District- Gurdaspur State- Punjab Pin code- 143533
State: Punjab Country: India
Pin: 143533 City/District: Gurdaspur
Mobile no: 7087374947 Telephone No. with STD code:
Aadhar Card No:760156576540 E-mail: rishav2002sha@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rashpal Sharma Relationship with candidate: Father
Parents Date of Birth: 10 Mar 1996 Parent's/Guardian's Occupation/Designation: Private Job
   
Office Address:
   
Address: Vill Bianpur City Dinanager Distt- Gurdaspur
Country: India State: Punjab
City/District: Gurdaspur Pin: 143533
Tel: Mobile no.: 9459910201
Fax: Email: rashpal_pb@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Victoria International School Mukerian School: Victoria International School
City: Mukerian City: Mukerian
English %: 66 Board Roll No./Seat No.: 13621429
Aggregate Percentage: 68 School/College Code: 20287
  Centre code: 2080
  Address of School/College: Victoria International School, Mukerian, Punjab 144211
  Pin: 144211
  Contact Nos: 8054926513
  Email: vis_muk@yahoo.co.in
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 69 69
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 70.67
English 100 73 73
   
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
09/2019 Basketball Zonal Participated
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Want to go on a vacation on hills.
Why do you wish to join TMI?: It is one of the best meritime training instuite in india and the place where it is situated is best. Infrastructure is good
What are your hobbies?: Playing outdoor games
What are your strengths?: Hard work and Determination
What are your weaknesses?: Sometimes overthinking
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
 
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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