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: DNS2175912 Name: shreyansh singh rajput
  Address: House No 453/1, ward no 41 street No 1 subhash nagar, near talwar bhavan
Telephone No.: Mobile no: 9691725680
E-mail: shreyanshsr07@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426659216
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175912 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: DNS2175912
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: shreyansh singh rajput
Mother's Name: kusumlata rajput
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Feb 2003 Nationality: India
Place of Birth: jagdalpur Personal Identification Mark: cut above right eye
Blood Group: B + Address for Communication: House No 453/1, ward no 41 street No 1 subhash nagar, near talwar bhavan
State: Chattisgarh Country: India
Pin: 491001 City/District: durg
Mobile no: 9691725680 Telephone No. with STD code:
Aadhar Card No: E-mail: shreyanshsr07@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Brijmohan Singh Rajput Relationship with candidate: Father
Parents Date of Birth: 09 Aug 1968 Parent's/Guardian's Occupation/Designation: insperctor CG Police
   
Office Address:
   
Address: SP office Durg CG
Country: India State: Chattisgarh
City/District: durg Pin: 491001
Tel: Mobile no.: 9826537209
Fax: Email: shreyanshsr07@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Chhatisgarh Board: CBSE
School: sri sankara vidyalaya School: sri sankara vidyalaya
City: bhilai City: bhilai
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: street No 2, sector 10, Bhilai
  Pin: 490006
  Contact Nos:
  Email: office@ssvbhilai.edu.in
  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
11/2019 ENGLISH DEBATE DISTRICT 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: after completing my XII final exams i would like to spend my time in researching more about this field and what we have to study in college and try to learn something new rather than wasting time.
Why do you wish to join TMI?: I have always wanted to study in the best institute of Nautical science in India. After talking to many seniors who studied in TMI, I got really impressed by the great character and personality they have developed during their stint at TMI. Joining TMI and learning the nitty-gritty of sea life will be a huge boost to my endeavours of becoming a sailor and achive great things.
What are your hobbies?: playing guitar, photography, watching movies.
What are your strengths?: my strength is that i am self motivated, honest and hard working. I like to complete my given work in the given time period. I am always ready to learn something new. I like to meet people with different culture and society and get easily mixed up with people.
What are your weaknesses?: can not refuse anyone asking for help
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