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: DNS2173695 Name: ADARSH SHARMA
  Address: Vill. Baghni Tel. Nurpur Po. kushinagar Dict. Kangra HP Vill. Baghni Tel. Nurpur Po. kushinagar Dict. Kangra HP
Telephone No.: Mobile no: 7876724770
E-mail: marshalladarsh3082002@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425607110
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173695 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: DNS2173695
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ADARSH SHARMA
Mother's Name: Meera kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Oct 2003 Nationality: Indian
Place of Birth: Hadsar Personal Identification Mark: Neck
Blood Group: A + Address for Communication: Vill. Baghni Tel. Nurpur Po. kushinagar Dict. Kangra HP Vill. Baghni Tel. Nurpur Po. kushinagar Dict. Kangra HP
State: Himachal Pradesh Country: India
Pin: 176202 City/District: Kangra
Mobile no: 7876724770 Telephone No. with STD code:
Aadhar Card No:307605258174 E-mail: marshalladarsh3082002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Madan lal Relationship with candidate: Father
Parents Date of Birth: 05 May 1970 Parent's/Guardian's Occupation/Designation: Govt. Teacher
   
Office Address:
   
Address: Vill. Baghni Tel. Nurpur Po. kushinagar Dict. Kangra HP Vill. Baghni Tel. Nurpur Po. kushinagar Dict. Kangra HP
Country: India State: Himachal Pradesh
City/District: Kangra Pin: 176202
Tel: Mobile no.: 7876724770
Fax: Email: marshalladarsh3082002@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Himachal Pradesh
School: MCM DAV PUBLIC SCHOOL BAGHNI School: GSSS BHADWAR
City: Kangra City: Kangra
English %: 66 Board Roll No./Seat No.: 2052286206
Aggregate Percentage: 64 School/College Code: 1817
  Centre code: C002
  Address of School/College: Vill. Baghni Tel. Nurpur Po. kushinagar Dict. Kangra HP Vill. Baghni Tel. Nurpur Po. kushinagar Dict. Kangra HP
  Pin: 176202
  Contact Nos: 07876724770
  Email: marshalladarsh3082002@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 49 49
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 64.67
English 100 76 76
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By taking Coaching of NDA
Why do you wish to join TMI?: Because the placement record of TMi is very very Good and also it is a very big Campus
What are your hobbies?: playing Cricket Running Football etc.
What are your strengths?: I am a good Sports person and I have a good patience
What are your weaknesses?: inability to share responsibility
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 not uploaded 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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