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: DNS2174223 Name: ROHIT SHAH
  Address: VILLAGE- MOLI,SUNALI POST OFFICE- ANJANISAIN
Telephone No.: Mobile no: 7060334083
E-mail: rohitshah5794@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425842261
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174223 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: DNS2174223
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ROHIT SHAH
Mother's Name: LAXMI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Mar 2003 Nationality: INDIAN
Place of Birth: ANJANISAIN Personal Identification Mark: Bruises on the chin
Blood Group: O + Address for Communication: VILLAGE- MOLI,SUNALI POST OFFICE- ANJANISAIN
State: Uttaranchal Country: India
Pin: 249121 City/District: TEHRI
Mobile no: 7060334083 Telephone No. with STD code:
Aadhar Card No:684904062549 E-mail: rohitshah5794@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JAGDISH LAL SHAH Relationship with candidate: SON
Parents Date of Birth: 02 Apr 1980 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: VILLAGE- GWAR, POST OFFICE- OKHLA LAMBGAUN, TEHRI GARHWAL
Country: India State: Uttaranchal
City/District: TEHRI GARHWAL Pin: 249131
Tel: Mobile no.: 7060334083
Fax: Email: molisunali@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: JAWAHAR NAVODAYA VIDYALAYA School: JAWAHAR NAVODAYA VIDYALAYA
City: TEHRI GARHWAL City: TEHRI
English %: 86 Board Roll No./Seat No.: 25630721
Aggregate Percentage: 79 School/College Code: 54032
  Centre code: 8132
  Address of School/College: JAWAHAR NAVODAYA VIDYALAYA , POKHAL, TEHRI GARHWAL
  Pin: 249161
  Contact Nos:
  Email: jnvpokhal1987@gmail.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 92 92
Chemistry 100 74 74
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 82.33
English 100 87 87
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2016 NCC 2 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will try to strengthen my mind along with health, fitness and study.
Why do you wish to join TMI?: TMI is a famous institute whose placement records can attract anyone.
What are your hobbies?: I like to watch cricket, read English novels and also play video games.
What are your strengths?: My strength is that I help people and I am always focused on my goal.
What are your weaknesses?: My weakness is that I trust people quickly but I always try to quit this habit.
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

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Date ________________

 
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