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: DNS2175194 Name: Vikash Tiwari
  Address: Vill Pure pandit Post Pari Salon Raebareli Vill Pure pandit Post Pari Salon Raebareli
Telephone No.: Mobile no: 8318239696
E-mail: tvikash728@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: 426146702
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175194 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: DNS2175194
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vikash Tiwari
Mother's Name: Suman Tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Oct 2000 Nationality: Indian
Place of Birth: Raebareli Personal Identification Mark: A black mole on cheek
Blood Group: B + Address for Communication: Vill Pure pandit Post Pari Salon Raebareli Vill Pure pandit Post Pari Salon Raebareli
State: Uttar Pradesh Country: India
Pin: 229401 City/District: Raebareli
Mobile no: 8318239696 Telephone No. with STD code:
Aadhar Card No:395439514711 E-mail: tvikash728@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Suman Tiwari Relationship with candidate: Mother
Parents Date of Birth: 05 Apr 1982 Parent's/Guardian's Occupation/Designation: Home maker
   
Office Address:
   
Address: Vill Pure pandit Post Pari Salon Raebareli Vill Pure pandit Post Pari Salon Raebareli
Country: India State: Uttar Pradesh
City/District: Raebareli Pin: 229401
Tel: Mobile no.: 8953490181
Fax: Email: vikast478@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Uttar Pradesh Board: Uttar Pradesh
School: S V N I C Pari salon Raebareli School: MPIC Salon Raebareli
City: Raebareli City: Raebareli
English %: 85 Board Roll No./Seat No.: 0980763
Aggregate Percentage: 76 School/College Code: 1217
  Centre code: 03681
  Address of School/College: Salon RaeBareli UP
  Pin: 229401
  Contact Nos:
  Email: vikast478@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 69 69
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 67.67
English 100 75 75
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing Diploma in Electronics engineering from Bteup
Why do you wish to join TMI?: TMI is a growing and reputed institute in India. As far as I have heard about it the learning environment is amazing.
What are your hobbies?: My hobbies are playing cricket, lesting music and reading books
What are your strengths?: I am hardworking person And I am punctual and loyal towards my work.
What are your weaknesses?: I am very emotional person
How do you intend to meet the expenses of this program?: Own Resources,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
 
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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