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: DNS2174017 Name: KAPIL MALIK
  Address: H.NO 22 GALI No A-1 ASHOK VIHAR PHASE 3 EXTN GURGOAN OPP SANTUR ASPIRA
Telephone No.: 9315533150 Mobile no: 9315533150
E-mail: kapilmalik1207@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425918017
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174017 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: DNS2174017
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KAPIL MALIK
Mother's Name: RAMESH MALIK
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jan 2001 Nationality: INDIAN
Place of Birth: DELHI Personal Identification Mark: MOLE ON RIGHT SIDE JAWLINE
Blood Group: A + Address for Communication: H.NO 22 GALI No A-1 ASHOK VIHAR PHASE 3 EXTN GURGOAN OPP SANTUR ASPIRA
State: Haryana Country: India
Pin: 122017 City/District: GURGAON
Mobile no: 9315533150 Telephone No. with STD code: 9315533150
Aadhar Card No:868448092380 E-mail: kapilmalik1207@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: NARENDER SINGH MALIK Relationship with candidate: FATHER
Parents Date of Birth: 14 Nov 1969 Parent's/Guardian's Occupation/Designation: ASSISTANT MANAGER SBI
   
Office Address:
   
Address: H/NO 22 GALI NO A-1 ASHOK VIHAR PHASE 3 EXTN , GURGOAN OPP SANTUR ASPIRA
Country: India State: Haryana
City/District: GURGOAN Pin: 122017
Tel: 7678405110 Mobile no.: 7678405110
Fax: Email: maliknarender14@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: THE AIR FORCE SCHOOL School: THE MAURYA SCHOOL
City: NEW DELHI City: GURGOAN
English %: 66 Board Roll No./Seat No.: 2627120
Aggregate Percentage: 65 School/College Code: 20703
  Centre code: 20703
  Address of School/College: THE MAURYA SCHOOL , PALAM VIHAR GURGOAN HARYANA
  Pin: 122017
  Contact Nos: 9315533150
  Email: kapilmalik1207@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 66 66
Chemistry 100 63 63
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 65.67
English 100 64 64
   
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
11/2019 POWERLIFTING DELHI STATE NO POSITION
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I AM CURRENTLY STUDYING COMPUTER SCIENCE ENGINEERING FROM SUSHANT UNIVERSITY GURGOAN
Why do you wish to join TMI?: THIS COMPANY SUITS MY INTEREST AND I CAN EASILY SEE MYSELF WORKING WITH THIS FIRM FOR LONG DURATION WITH GROWTH IN MY CAREER.
What are your hobbies?: CRICKET, GYMING
What are your strengths?: DETERMINED, TRUSTWORTHY, DISCIPLINED, MANAGING TEAMWORK
What are your weaknesses?: Being too honest, Believing people easily, Find difficulty in saying no for something
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

 

___________________

Date ________________

 
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