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: DNS2175500 Name: Aryaman Agarwal
  Address: C-27 sec - D L.D.A colony kanpur road Lucknow c-27 sec - D
Telephone No.: Mobile no: 8687019990
E-mail: agarwalaryaman1305@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 428045514
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175500 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2175500
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aryaman Agarwal
Mother's Name: Geetika Agarwal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 May 2002 Nationality: Indian
Place of Birth: lucknow Personal Identification Mark: no mark
Blood Group: B + Address for Communication: C-27 sec - D L.D.A colony kanpur road Lucknow c-27 sec - D
State: Uttar Pradesh Country: India
Pin: 226012 City/District: lucknow
Mobile no: 8687019990 Telephone No. with STD code:
Aadhar Card No:548953544235 E-mail: agarwalaryaman1305@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: KG AGARWAL Relationship with candidate: FATHER
Parents Date of Birth: 29 Dec 1972 Parent's/Guardian's Occupation/Designation: service
   
Office Address:
   
Address: c-27 ,sec - D L.D.A Colony kanpur road lucknow c-27 ,sec - D L.D.A Colony kanpur road lucknow
Country: India State: Uttar Pradesh
City/District: lucknow Pin: 226012
Tel: Mobile no.: 8687019988
Fax: Email: kgagarwalz@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Delhi public school School: Chiranjiv Bharati School
City: lucknow City: Lucknow
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code: 2130228
  Centre code:
  Address of School/College: Power House, Ashiyana,Lucknow
  Pin: 226012
  Contact Nos: 8687019990
  Email: agarwalaryaman1305@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
10/2019 Cricket National Fourth
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2012 Guitar 3 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will continue my cricket sessions and guitar practice.
Why do you wish to join TMI?: I want to join as it is obviously the best institute in India or even Asia for Marine Engineering and also because I find myself a suitable candidate for this field as I am not much social and having lived away from my home since many years I have developed the quality of adaptation which is a key requirement for this field
What are your hobbies?: Sports, Guitar
What are your strengths?: Good observation skills
What are your weaknesses?: Socially active
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form