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: DNS2176289 Name: SHIVANSH TIWARI
  Address: VILLAGE NASOPUR POST UMAPUR VILLAGE NASOPUR POST UMAPUR
Telephone No.: Mobile no: 9696319474
E-mail: rajshruti0006@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 426981319
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176289 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: DNS2176289
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHIVANSH TIWARI
Mother's Name: RENUKA TIWARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Sep 2003 Nationality: INDIAN
Place of Birth: MAU Personal Identification Mark: A CUT MARK ON FOREHEAD
Blood Group: O + Address for Communication: VILLAGE NASOPUR POST UMAPUR VILLAGE NASOPUR POST UMAPUR
State: Uttar Pradesh Country: India
Pin: 275101 City/District: MAU
Mobile no: 9696319474 Telephone No. with STD code:
Aadhar Card No:312429602537 E-mail: rajshruti0006@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ANAND PRAKASH TIWARI Relationship with candidate: FATHER
Parents Date of Birth: 18 Apr 1974 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: VILLAGE NASOPUR POST UMAPUR VILLAGE NASOPUR POST UMAPUR
Country: India State: Uttar Pradesh
City/District: MAU Pin: 275101
Tel: Mobile no.: 7985669024
Fax: Email: tiwarianandprakash01@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Uttar Pradesh Board: Uttar Pradesh
School: JAWAHAR NAVODAYA VIDYALAYA LAKHIMPUR KHERI UP School: JAWAHAR NAVODAYA VIDYALAYA RAMGARH CHANDAULI UP
City: LAKHIMPUR KHERI City: CHANDAULI
English %: 83 Board Roll No./Seat No.: 23617628
Aggregate Percentage: 72 School/College Code: 74012
  Centre code: 2131491
  Address of School/College: RAMGARH CHANDAULI UP
  Pin: 232107
  Contact Nos:
  Email: jnvchandauli@gmail.com
  Aggregate Percentage: 77
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 70 70
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 74.67
English 100 82 82
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I SPEND MY TIME IN STUDYING MATHS AND PHYSICS AND GENERAL KNOWLEDGE
Why do you wish to join TMI?: I LEARNT IT FROM MATERNAL UNCLE THAT IT IS REPUTED INSTITUTION
What are your hobbies?: TO PLAY CRICKET AND DO YOGA
What are your strengths?: LEADERSHIP QUALITY AND GOOD ENGLISH WRITING SKILLS
What are your weaknesses?: LESS INTEREST IN HISTORY
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 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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