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: DNS2176400 Name: Prateek Das
  Address: 12A , second floor M.S Enclave, Dhakoli Punjab , India
Telephone No.: Mobile no: 7889278116
E-mail: prateekdas2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 427133281
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176400 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: DNS2176400
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Prateek Das
Mother's Name: Sharmita Das
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Jan 2003 Nationality: Indian
Place of Birth: Ambala Personal Identification Mark: stiches mark on ear
Blood Group: A - Address for Communication: 12A , second floor M.S Enclave, Dhakoli Punjab , India
State: Punjab Country: India
Pin: 160104 City/District: Dhakoli
Mobile no: 7889278116 Telephone No. with STD code:
Aadhar Card No:236526583967 E-mail: prateekdas2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sumit Das Relationship with candidate: father
Parents Date of Birth: 18 Nov 1972 Parent's/Guardian's Occupation/Designation: sevice
   
Office Address:
   
Address: 12A, M.S Enclave Dhakoli, Zirakpur , Mohali Punjab, India
Country: India State: Punjab
City/District: Mohali Pin: 160104
Tel: Mobile no.: 9646513159
Fax: Email: sumit.passim97@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Ankur School School: G.M.S.S.S 16 D
City: Chandigarh City: Chandigarh
English %: 97 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: sector 16 D, Chandigarh
  Pin: 160015
  Contact Nos:
  Email: prateekdas2003@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 ?: strengthening subject basics and photography
Why do you wish to join TMI?: because of its good reputation and good palcement record
What are your hobbies?: Photography
What are your strengths?: hardworking, teamwork
What are your weaknesses?: afraid of wild animals
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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