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: DNS2174565 Name: SANYAM CHOUDHARY
  Address: aakashdeep enclave phase-2, delhi road ,roorkee,uttarakhand,
Telephone No.: 7351548802 Mobile no: 7351548802
E-mail: sanyamc73@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426025543
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174565 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: DNS2174565
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SANYAM CHOUDHARY
Mother's Name: GARIMA DEVI
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 13 Jan 2003 Nationality: INDIAN
Place of Birth: ROORKEE Personal Identification Mark: scars on left hand
Blood Group: B + Address for Communication: aakashdeep enclave phase-2, delhi road ,roorkee,uttarakhand,
State: Uttaranchal Country: India
Pin: 247667 City/District: ROORKEE
Mobile no: 7351548802 Telephone No. with STD code: 7351548802
Aadhar Card No:515736977754 E-mail: sanyamc73@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAVINDER KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 08 Mar 1996 Parent's/Guardian's Occupation/Designation: ENGINEER
   
Office Address:
   
Address: R.W.D OFFICE, ROSNABAD HARIDWAR
Country: India State: Uttaranchal
City/District: HARIDWAR Pin: 249401
Tel: Mobile no.: 9412108721
Fax: Email: SANYAMC73@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: MONTFORT School: GREENWAY
City: ROORKEE City: ROORKEE
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: Adarsh Nagar,roorkee
  Pin: 247667
  Contact Nos: 01332270352
  Email: gmsroorkee@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to go on a tour with my family to have fun and start working on my physical fitness and health
Why do you wish to join TMI?: I want to join TMI because I find this college great to learn and work with my potential.
What are your hobbies?: Play sports , like to party, love to drive car
What are your strengths?: i am very positive, highly committed, supportive, problem solver
What are your weaknesses?: some times expect more form people then i should be
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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