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: DNS2174450 Name: Ashish Dubey
  Address: Q. No. 2-9-D Baraha railway colony Alambagh, Lucknow
Telephone No.: Mobile no: 8840939156
E-mail: shashilko36@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: 425877035
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174450 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: DNS2174450
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashish Dubey
Mother's Name: Shashikala Dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Nov 2001 Nationality: Indian
Place of Birth: Meerut Personal Identification Mark: Mole on ring finger of right hand
Blood Group: B + Address for Communication: Q. No. 2-9-D Baraha railway colony Alambagh, Lucknow
State: Uttar Pradesh Country: India
Pin: 211001 City/District: Lucknow
Mobile no: 8840939156 Telephone No. with STD code:
Aadhar Card No:298269154771 E-mail: shashilko36@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Achay Dubey Relationship with candidate: Father
Parents Date of Birth: 07 Jul 1975 Parent's/Guardian's Occupation/Designation: Defense services
   
Office Address:
   
Address: Q. No. 2-9-D Baraha railway colony Alambagh, Lucknow
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 211001
Tel: Mobile no.: 8840939156
Fax: Email: shashilko36@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kendriya Vidyalaya AMC centre School: Kendriya Vidyalaya AMC center
City: Lucknow City: Lucknow
English %: 73 Board Roll No./Seat No.: 23693166
Aggregate Percentage: 72 School/College Code: 74055
  Centre code: 7242
  Address of School/College: Cariappa road near topkhana Bazar, cantonment, Lucknow
  Pin: 211001
  Contact Nos:
  Email: kvamclko@rediffmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 69 69
Chemistry 100 73 73
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 67.67
English 100 66 66
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By doing preparations for sponsorship exams and IMUCET.
Why do you wish to join TMI?: I wish to join TMI because it is best institute in India.
What are your hobbies?: Gymnastics and dancing
What are your strengths?: My strength is to work under pressure easily, truthful, polite nature.
What are your weaknesses?: My weakness is I easily trust anyone. So I am a fresher.
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 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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