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: DNS2173652 Name: Madhav Kapoor
  Address: H.NO. 677/7,STREET NO.6 UPKAR NAGAR,CIVIL LINES
Telephone No.: 01612445677 Mobile no: 9779206797
E-mail: coolmadhav.9779@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 425483612
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173652 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: DNS2173652
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Madhav Kapoor
Mother's Name: Neelam Kapoor
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2002 Nationality: Indian
Place of Birth: Ludhiana Personal Identification Mark: None
Blood Group: AB + Address for Communication: H.NO. 677/7,STREET NO.6 UPKAR NAGAR,CIVIL LINES
State: Punjab Country: India
Pin: 141001 City/District: LUDHIANA
Mobile no: 9779206797 Telephone No. with STD code: 01612445677
Aadhar Card No:613417699004 E-mail: coolmadhav.9779@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Chandan Kapoor Relationship with candidate: Father
Parents Date of Birth: 09 Aug 1975 Parent's/Guardian's Occupation/Designation: Buisinessman
   
Office Address:
   
Address: Hari Om Enterprises Dhandari Kalan
Country: India State: Punjab
City/District: Ludhiana Pin: 141010
Tel: Mobile no.: 9872305678
Fax: Email: ckapoor40@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: BCM Arya Model Senior Secondary School School: BCM Arya Model Senior Secondary School
City: LUDHIANA City: Ludhiana
English %: 88 Board Roll No./Seat No.: 13635982
Aggregate Percentage: 93 School/College Code: 20029
  Centre code: 2119
  Address of School/College: Ishmeet Singh Road, Shastri Nagar, Model Town
  Pin: 141002
  Contact Nos: 01612464444
  Email: bcmeducation@gmail.com
  Aggregate Percentage: 88
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 87 87
Chemistry 100 87 87
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 84.67
English 100 93 93
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: As there was complete Lockdown in 2020 i.e after my 12th. So, I was at home and i got more time for my preparation for Merchant Navy and after doing studies i usually watch movies and web series and listen music.
Why do you wish to join TMI?: I want to Join Tolani Maritime Institute because its reputation and the kind of facilities it provides to their students is wonderful.
What are your hobbies?: My hobbies are to watch movies and web series and listen music.
What are your strengths?: My strengths are my patience level, pragmatic nature and extrovert nature.
What are your weaknesses?: My weakness is my communication skills especially when talking in English but i working on it to improve myself.
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 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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