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: DNS2173679 Name: Parth Singh Chouhan
  Address: E-150 Subhash Colony Ashoka Garden Bhopal C-115 Block J 25th Battalion Bhadbhada Road
Telephone No.: Mobile no: 6266815193
E-mail: parth.singh062002@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425358830
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173679 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: DNS2173679
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Parth Singh Chouhan
Mother's Name: Guddi Singh Chouhan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Feb 2002 Nationality: Indian
Place of Birth: Bhopal Personal Identification Mark: Mole on chin
Blood Group: O + Address for Communication: E-150 Subhash Colony Ashoka Garden Bhopal C-115 Block J 25th Battalion Bhadbhada Road
State: Madhya Pradesh Country: India
Pin: 462023 City/District: Bhopal
Mobile no: 6266815193 Telephone No. with STD code:
Aadhar Card No:868674335733 E-mail: parth.singh062002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vinod Singh Chouhan Relationship with candidate: Father
Parents Date of Birth: 22 Mar 1973 Parent's/Guardian's Occupation/Designation: Government Servent
   
Office Address:
   
Address: Commandent Hawk Force Camp Kanki Balaghat Balaghat Kanki
Country: India State: Madhya Pradesh
City/District: Bhopal Pin: 462023
Tel: Mobile no.: 8982001126
Fax: Email: vinodsingh08165@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Madhya Pradesh Board: Madhya Pradesh
School: Subhash Excellence School School: Subhash Excellennce School
City: Bhopal City: Bhopal
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: 7 no. Shivaji Nagar Bhopal
  Pin: 462023
  Contact Nos:
  Email: parth.singh062002@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to practise for the sponsorship exam for the company and for imu-cet and work on my swimming skill.
Why do you wish to join TMI?: TMI has a good image in the market and i have to secure my future by being with you.
What are your hobbies?: swimming
What are your strengths?: Hardworker
What are your weaknesses?: i have a bad handwriting
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

 

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Date ________________

 
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