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: DNS2176430 Name: Apurv Verma
  Address: 20, Shyam kunj colony Khurram Nagar
Telephone No.: Mobile no: 8787042842
E-mail: apurvverma456@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176430 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: DNS2176430
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Apurv Verma
Mother's Name: Anju Verma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Dec 2003 Nationality: Indian
Place of Birth: Lucknow Personal Identification Mark: Elbow
Blood Group: AB + Address for Communication: 20, Shyam kunj colony Khurram Nagar
State: Uttar Pradesh Country: India
Pin: 226022 City/District: Lucknow
Mobile no: 8787042842 Telephone No. with STD code:
Aadhar Card No:867922810957 E-mail: apurvverma456@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Alok Verma Relationship with candidate: Father
Parents Date of Birth: 28 Jun 1971 Parent's/Guardian's Occupation/Designation: Doctor
   
Office Address:
   
Address: Triveni Nagar Khadra
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226022
Tel: Mobile no.: 9335058869
Fax: Email: apurvverma456@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: St. Joseph School: St. Joseph
City: Lucknow City: Lucknow
English %: 60 Board Roll No./Seat No.:
Aggregate Percentage: 50 School/College Code:
  Centre code:
  Address of School/College: Priyadarshini Nagar
  Pin: 226024
  Contact Nos: 8787042842
  Email: apurvverma456@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 ?: Visiting relatives
Why do you wish to join TMI?: TMI is best Maritime academy in India
What are your hobbies?: Cooking
What are your strengths?: Determination
What are your weaknesses?: Delegating task
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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