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: DNS2176538 Name: JATIN BALAYAN
  Address: H.NO 27 TAJPUR KALAN , NORTH WEST DELHI DELHI 110036 HOUSE NO. 366,KHASRA NO.-853/2,HOUD,NEAR OLD WATER TANK,MAHIPALPUR NEW DELHI-110037
Telephone No.: Mobile no: 8368376890
E-mail: JATINBALAYAN2001@GMAIL.COM  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427276680
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176538 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: DNS2176538
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: JATIN BALAYAN
Mother's Name: USHA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Sep 2003 Nationality: INDIAN
Place of Birth: DELHI Personal Identification Mark: MARK ON FIST
Blood Group: O - Address for Communication: H.NO 27 TAJPUR KALAN , NORTH WEST DELHI DELHI 110036 HOUSE NO. 366,KHASRA NO.-853/2,HOUD,NEAR OLD WATER TANK,MAHIPALPUR NEW DELHI-110037
State: Delhi Country: India
Pin: 110036 City/District: ROHINE
Mobile no: 8368376890 Telephone No. with STD code:
Aadhar Card No:322843381459 E-mail: JATINBALAYAN2001@GMAIL.COM
 
Guardian's Particulars:
 
Name of Parent/Guardian: USHA Relationship with candidate: MOTHER
Parents Date of Birth: 20 May 1980 Parent's/Guardian's Occupation/Designation: HOUSE WIFE
   
Office Address:
   
Address: H.NO 27 TAJPUR KALAN , NORTH WEST DELHI DELHI 110036 HOUSE NO. 366,KHASRA NO.-853/2,HOUD,NEAR OLD WATER TANK,MAHIPALPUR NEW DELHI-110037
Country: India State: Delhi
City/District: ROHINE Pin: 110036
Tel: Mobile no.: 7703913792
Fax: Email: JATINBALAYAN2001@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: 65345-MOTHER KHAZANI CONVENT SCHOOL MUNGESH PUR DLI School: 85227 MOTHER KHAZANI CONVENT SCHOOL MUNGESH PUR DLI
City: DELHI City: DELHI
English %: 077 Board Roll No./Seat No.: 26609589
Aggregate Percentage: 75 School/College Code: 85227
  Centre code: 8530
  Address of School/College: MUNGESH PUR DLI
  Pin: 110039
  Contact Nos:
  Email: JATINBALAYAN2001@GMAIL.COM
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 55 55
Chemistry 100 51 51
Mathematics 100 47 47
Physics, Chemistry & Mathematics combined Percentage: 51
English 100 73 73
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL STUDY NOVEL AND STUDY FOR IMUCET
Why do you wish to join TMI?: ITS BEST COLLAGE FOR DNS IN INDIA
What are your hobbies?: I LIKE TO PLAY OUTDOOR GAMES
What are your strengths?: TRUSTWORTHINESS
What are your weaknesses?: I FOCUS TOO MUCH THE DETALIS
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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