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: DNS2176500 Name: Ashish kumar
  Address: Balawas jat, rewari, haryana Balawas, dharan, bawal
Telephone No.: Mobile no: 9518198656
E-mail: rathiashishjaat@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 429227509
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176500 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: DNS2176500
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashish kumar
Mother's Name: Mukesh devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Oct 2002 Nationality: Indian
Place of Birth: Rewari Personal Identification Mark: Black mole on chest
Blood Group: O + Address for Communication: Balawas jat, rewari, haryana Balawas, dharan, bawal
State: Haryana Country: India
Pin: 123412 City/District: Rewari
Mobile no: 9518198656 Telephone No. with STD code:
Aadhar Card No:620373572011 E-mail: rathiashishjaat@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajkumar Relationship with candidate: Father
Parents Date of Birth: 15 Aug 1974 Parent's/Guardian's Occupation/Designation: Army/subedar
   
Office Address:
   
Address: Balawas jat, rewari, haryana Balawas, dharan, bawal
Country: India State: Haryana
City/District: Rewari Pin: 123412
Tel: Mobile no.: 9518198656
Fax: Email: rathiashishjaat@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Rps public school School: Paramount school
City: Rewari City: Jhajjar
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: Chuchakwas, jhajjar, haryana
  Pin: 124106
  Contact Nos:
  Email: rathiashishjaat@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 ?: I used to do practice for my army physical and test
Why do you wish to join TMI?: Sir, i want to join tmi because it is best institute in india for dns. I found myself suitable for this course because iam have lived in hostels from class 4th to 12th.Iam very adaptive to the tough environment of navy
What are your hobbies?: Exploring, listening music, books
What are your strengths?: Self discipline , teamwork, self control, adaptive in weak situations
What are your weaknesses?: Over thinking, Glossophobia
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 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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