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: DNS2176231 Name: Adarsh dev
  Address: F-6 THDC officer field hostel, New Tehri F-6THDC officer field hostel, New Tehri
Telephone No.: Mobile no: 9458160967
E-mail: jawahar.ii@rediffmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427040353
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176231 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: DNS2176231
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Adarsh dev
Mother's Name: Deveshwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Aug 2003 Nationality: Indian
Place of Birth: New Tehri Personal Identification Mark: Mole on right cheek
Blood Group: A + Address for Communication: F-6 THDC officer field hostel, New Tehri F-6THDC officer field hostel, New Tehri
State: Uttaranchal Country: India
Pin: 249001 City/District: New Tehri Tehri Garhwal
Mobile no: 9458160967 Telephone No. with STD code:
Aadhar Card No: E-mail: jawahar.ii@rediffmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jawahar Lal Relationship with candidate: Father
Parents Date of Birth: 17 Jul 1972 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: THDC , Kotehswar THDC, Koteshwar
Country: India State: Uttaranchal
City/District: New Tehri Tehri Garhwal Pin: 249001
Tel: Mobile no.: 9458160967
Fax: Email: jawahar.ii@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: All saints convent school New tehri School: All saints convent school New Tehri
City: New Tehri Tehri Garhwal City: New Tehri Tehri Garhwal
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: All saints convent school New tehri
  Pin: 249001
  Contact Nos:
  Email: jawahar.ii@rediffmail.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 ?: Doing workout
Why do you wish to join TMI?: Because of its good placement
What are your hobbies?: Cycling
What are your strengths?: Hardworking and motivated
What are your weaknesses?: Foody
How do you intend to meet the expenses of this program?: 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 ________________

 
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