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: DNS2174007 Name: ved shrivansh
  Address: 131/A VANDANA NAGAR,GOHALPUR THANA BASTI NO. 2
Telephone No.: Mobile no: 9340729915
E-mail: vedshrivansh1234@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: 425566371
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174007 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: DNS2174007
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ved shrivansh
Mother's Name: sona
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Mar 2000 Nationality: INDIAN
Place of Birth: JABALPUR Personal Identification Mark: right hand black dot mark
Blood Group: O + Address for Communication: 131/A VANDANA NAGAR,GOHALPUR THANA BASTI NO. 2
State: Madhya Pradesh Country: India
Pin: 482002 City/District: JABALPUR
Mobile no: 9340729915 Telephone No. with STD code:
Aadhar Card No:362478335095 E-mail: vedshrivansh1234@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DEVI SINGH KOSHTA Relationship with candidate: FATHER
Parents Date of Birth: 10 Jun 1968 Parent's/Guardian's Occupation/Designation: business
   
Office Address:
   
Address: Aastha parisar Jagriti nagar adhartal face 2
Country: India State: Madhya Pradesh
City/District: Jabalpur Pin: 482004
Tel: Mobile no.: 9300128244
Fax: Email: vedshrivansh1234@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: Madhya Pradesh Board: Madhya Pradesh
School: saraswati higher secondry School: saraswati higher secondry
City: JABALPUR City: Jabalpur
English %: 55 Board Roll No./Seat No.: 277137339
Aggregate Percentage: 76 School/College Code: 712084
  Centre code: 712022
  Address of School/College: ram nagar adhartal
  Pin: 482004
  Contact Nos:
  Email: vedshrivansh1234@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 82 82
Chemistry 100 69 69
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 70.33
English 100 75 75
   
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
12/2011 Archery national level 3rd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for the DNS exam and pursued B.sc
Why do you wish to join TMI?: no 1 college in private, placement percent is quiet satisfactory ,facilities for students are good..
What are your hobbies?: horse ridding, cricket
What are your strengths?: quick learner, positive attitude.
What are your weaknesses?: leaving projects unfinished, being too detail oriented
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

 

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Date ________________

 
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