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: DNS2173616 Name: Shagun Sharma
  Address: Vill. Padhiara Tehsil.jwalamukhi Distt. Kangra Pin code. 176036
Telephone No.: Mobile no: 9805511875
E-mail: shagunsharma11875@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425315789
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173616 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: DNS2173616
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shagun Sharma
Mother's Name: Seema Kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jan 2004 Nationality: Indian
Place of Birth: Basdi Personal Identification Mark: Mark on forehead
Blood Group: A + Address for Communication: Vill. Padhiara Tehsil.jwalamukhi Distt. Kangra Pin code. 176036
State: Himachal Pradesh Country: India
Pin: 176036 City/District: Kangra
Mobile no: 9805511875 Telephone No. with STD code:
Aadhar Card No:731451554095 E-mail: shagunsharma11875@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Madhu Sudan Sharma Relationship with candidate: Father
Parents Date of Birth: 25 May 1973 Parent's/Guardian's Occupation/Designation: Army Retired
   
Office Address:
   
Address: Vill. Padhiara Tehsil.jwalamukhi Distt. Kangra Pin code. 176036
Country: India State: Himachal Pradesh
City/District: Kangra Pin: 176036
Tel: Mobile no.: 9418501179
Fax: Email: madhu9418501179@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya Nadaun School: DAV Public School
City: Nadaun City: Nadaun
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: Nadaun 176036
  Pin: 176036
  Contact Nos: 9418501179
  Email: madhu9418501179@gmail.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
Kho Kho Kho Kho Volley ball Badminton
Kho Kho regional level Kho Kho inter house competition Volleyball inter house competition Badminton inter house competition
No position First Third Third
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will Learn to Swim and will prepare for IMUCET
Why do you wish to join TMI?: TMI is one of the greatest marine colleges in ASIA. It has beautiful infrastructure and great facilities. Many good companies comes for recruitment in this college. It is good in every aspect.
What are your hobbies?: Cycling, listening songs, travelling
What are your strengths?: Patience, determination, tolerance, adaptability
What are your weaknesses?: Bad handwriting, sometimes shy in front of girls
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 not uploaded 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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