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: DNS2173877 Name: Gupta Om Subhashchandra
  Address: Rama Mara Wadi Korba Mithaghar Wadala East Mumbai-400037
Telephone No.: Mobile no: 8291212397
E-mail: guptaom952@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427029413
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173877 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: DNS2173877
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Gupta Om Subhashchandra
Mother's Name: Seema Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jun 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Mole on both shoulders
Blood Group: O + Address for Communication: Rama Mara Wadi Korba Mithaghar Wadala East Mumbai-400037
State: Maharashtra Country: India
Pin: 400037 City/District: Mumbai
Mobile no: 8291212397 Telephone No. with STD code:
Aadhar Card No:221759896747 E-mail: guptaom952@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Subhashchandra Gupta Relationship with candidate: Father
Parents Date of Birth: 16 Mar 1974 Parent's/Guardian's Occupation/Designation: Private Job
   
Office Address:
   
Address: 503, 5th Floor, Balaji Business Park, Andheri - Kurla Rd, near Burger King Gamdevi, Marol, Andheri East, Mumbai, Maharashtra 400059
Country: India State: Maharashtra
City/District: Mumbai Pin: 400037
Tel: Mobile no.: 9969114446
Fax: Email: vishnug302@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Indian Education Society School: Andhra Education Society
City: Mumbai City: Mumbai
English %: 73 Board Roll No./Seat No.: M060441
Aggregate Percentage: 80 School/College Code: 3104009
  Centre code: 3257
  Address of School/College: Rd Number 7, A, Wadala, Mumbai, Maharashtra 400031
  Pin: 400031
  Contact Nos:
  Email: helpdesk@andhraeducationsocietymumbai.org
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 60 60
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 63
English 100 73 73
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I like reading books.So I spent my most time in reading and meeting new people
Why do you wish to join TMI?: TMI offers best education in sea career and it also has many companies for sponsorship opportunities
What are your hobbies?: Reading and Sports
What are your strengths?: Can handle multiple tasks simultaneously
What are your weaknesses?: None
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 not uploaded 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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