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: DNS2176327 Name: Harsh Upadhyay
  Address: GD-2 wz-128 street no-13 hari nagar 1st floor near santoshi mata mandir
Telephone No.: 0119810799501 Mobile no: 9810799501
E-mail: uharsh45@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: 427055262
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176327 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: DNS2176327
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harsh Upadhyay
Mother's Name: Vibha Upadhyay
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Aug 2003 Nationality: INDIA
Place of Birth: new delhi Personal Identification Mark: no
Blood Group: A + Address for Communication: GD-2 wz-128 street no-13 hari nagar 1st floor near santoshi mata mandir
State: Delhi Country: India
Pin: 110058 City/District: new delhi
Mobile no: 9810799501 Telephone No. with STD code: 0119810799501
Aadhar Card No:881948439429 E-mail: uharsh45@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jagdish Upadhyay Relationship with candidate: Father
Parents Date of Birth: 09 Nov 1975 Parent's/Guardian's Occupation/Designation: Private Service
   
Office Address:
   
Address: plot no 312 udyog vihar phase 4 gurgoan,Harayana
Country: India State: Delhi
City/District: new delhi Pin: 110058
Tel: 119810799501 Mobile no.: 9811405344
Fax: Email: upadhyay_jagdish@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: ITL PUBLIC SCHOOL School: ITL PUBLIC SCHOOL
City: new delhi City: new delhi
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: Pocket 2, Dwarka Sector 9, Dwarka, New Delhi,
  Pin: 110058
  Contact Nos: 119810799501
  Email: uharsh45@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: would like to give rest to my mind after exams before starting another journey of my life
Why do you wish to join TMI?: tmi is not only a reputed college having great placements record but also has the best infrastructure and facilities a child wishes for
What are your hobbies?: I am much into online gaming and cricket
What are your strengths?: my family who always supports me always
What are your weaknesses?: my confidence until i am not confident about myself i feel low and weak
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

 

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Date ________________

 
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