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: DNS2174989 Name: Ayush Balhera
  Address: C1501 neel sidhi atlantis sector 19A Nerul East Navi Mumbai
Telephone No.: Mobile no: 9930411336
E-mail: aayushbalhera@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 434308962
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174989 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: DNS2174989
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ayush Balhera
Mother's Name: Sarita Balhera
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Jun 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: mole above the left lip
Blood Group: A - Address for Communication: C1501 neel sidhi atlantis sector 19A Nerul East Navi Mumbai
State: Maharashtra Country: India
Pin: 400706 City/District: Nerul
Mobile no: 9930411336 Telephone No. with STD code:
Aadhar Card No:287865331783 E-mail: aayushbalhera@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mahabir Singh Relationship with candidate: Father
Parents Date of Birth: 05 Nov 1966 Parent's/Guardian's Occupation/Designation: Marine Eng.
   
Office Address:
   
Address: C1501 neel sidhi atlantis sector 19A Nerul East Navi Mumbai
Country: India State: Maharashtra
City/District: Nerul Pin: 400706
Tel: Mobile no.: 9930733901
Fax: Email: mahabir.66@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Maharashtra Board: CBSE
School: Bal Bharti Public School School: Jaipuriar School
City: Kharghar City: Sanpada
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Centre code:
  Address of School/College: Jaipuriar School, Palm Beach Road, Sec.18, Sanpada
  Pin: 400705
  Contact Nos:
  Email: jaipuriarsschool@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2012 skating District level championship 1st
11/2017 volleyball 11th all India Inter unit sports meet 2nd
11/2014 skating Roller Skating Association Alibag 1st
01/2015 Running 9th all India Inter unit sports meet 3rd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would try reading books along with video editing and make montages aight take a short vacation with friends and family start playing football on daily basis and continue with the gym to have a fit body for the college and at last work on my self where I lack the most and try not to be the same guy.
Why do you wish to join TMI?: I want to join TMI as it has been the best institute in India for Marine Engineering and also because I find myself a suitable candidate for this field as I am a social and love to meet people of different culture and language and like explore the world. With the help of TMI I could get good placement and get into good company.
What are your hobbies?: Football,skating,athletics,photography,video editing,gaming
What are your strengths?: Communication skills, patience, computer literacy, empathy, initiative, versatility
What are your weaknesses?: Self-criticism, creative writing, hard skills, procrastinating
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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