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: DNS2173937 Name: SANKALP SANJAY GUPTA
  Address: 1401,dandelia,acmeozone,near khewra circle 1401,dandelia,acme ocone, near khewra circle 1401,dandelia, acme ozone, manpada
Telephone No.: 09323368062 Mobile no: 8689812023
E-mail: rahulgupta160302@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425498452
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173937 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: DNS2173937
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SANKALP SANJAY GUPTA
Mother's Name: Rashmi S Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Mar 2003 Nationality: Indian
Place of Birth: Bhiwandi Personal Identification Mark: Stomach
Blood Group: B + Address for Communication: 1401,dandelia,acmeozone,near khewra circle 1401,dandelia,acme ocone, near khewra circle 1401,dandelia, acme ozone, manpada
State: Maharashtra Country: India
Pin: 400607 City/District: Thane
Mobile no: 8689812023 Telephone No. with STD code: 09323368062
Aadhar Card No:308655927096 E-mail: rahulgupta160302@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay M Gupta Relationship with candidate: Father
Parents Date of Birth: 04 Aug 1978 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 1401,dandelia,acmeozone,near khewra circle 1401,dandelia,acme ozone, near khewra circle
Country: India State: Maharashtra
City/District: Thane Pin: 400607
Tel: 08689812023 Mobile no.: 8689812023
Fax: Email: sanjay481978@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: CBSE
School: Vasant vihar high school School: Lady khatun marium school
City: Thane City: Ulwe
English %: 64 Board Roll No./Seat No.: 15606981
Aggregate Percentage: 67 School/College Code: 30028
  Centre code: 1055
  Address of School/College: Lady khatun marium school, Panvel, raigad
  Pin: 400607
  Contact Nos: 02227212940
  Email: lkm_school@yahoo.com
  Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 64 64
Mathematics 100 65 65
Physics, Chemistry & Mathematics combined Percentage: 64.33
English 100 64 64
   
IMU CET Application Number: 5001591  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am very much excited to join tolani college
Why do you wish to join TMI?: It is a very reputed college
What are your hobbies?: Cricket
What are your strengths?: I am hard working and self motivated person
What are your weaknesses?: I am workaholic
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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