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: DNS2173913 Name: Sanskar Jadaun
  Address: Naya Gaon, Chandpur Road, post agriculture school
Telephone No.: 9897829946 Mobile no: 9897829946
E-mail: sanskarjadaun32@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 426311775
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173913 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: DNS2173913
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sanskar Jadaun
Mother's Name: Sarswati devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Sep 2003 Nationality: Indian
Place of Birth: Bulandshahr Personal Identification Mark: mole on right hand wrist
Blood Group: A + Address for Communication: Naya Gaon, Chandpur Road, post agriculture school
State: Uttar Pradesh Country: India
Pin: 203001 City/District: Bulandshahr
Mobile no: 9897829946 Telephone No. with STD code: 9897829946
Aadhar Card No:394985183824 E-mail: sanskarjadaun32@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sushil Kumar Relationship with candidate: Father
Parents Date of Birth: 02 Jan 1970 Parent's/Guardian's Occupation/Designation: Government Service
   
Office Address:
   
Address: Vikas Bhawan Bulandshahar
Country: India State: Uttar Pradesh
City/District: Bulandshahr Pin: 203001
Tel: Mobile no.: 8864911115
Fax: Email: sushilkumar32@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Nirmala Convent School School: Delhi Public School
City: Bulandshahr City: Bulandshahr
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Centre code:
  Address of School/College: NH 91, Phase 2, Yamunapuram , Bulandshahr
  Pin: 203001
  Contact Nos:
  Email: principaldpsbsr@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
09/2018 Basketball Inter School Participation
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning new skills
Why do you wish to join TMI?: It is one of the best institute with maximum training , knowledge and placement percentage.
What are your hobbies?: Basketball , Drawing
What are your strengths?: Quick Learner, responsible ,Disciplined
What are your weaknesses?: Limited expirence in non-essential skills
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 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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