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: DNS2176666 Name: shubham kumar attri
  Address: h/no F22/6457,INDRA COLONY,TUNGPAI,BATALA ROAD h/no F22/6457,INDRA COLONY,TUNGPAI,BATALA ROAD h/no F22/6457,INDRA COLONY,TUNGPAI,BATALA ROAD
Telephone No.: 9780004142 Mobile no: 7986075044
E-mail: samattri143@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: 427378554
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176666 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: DNS2176666
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: shubham kumar attri
Mother's Name: Rajwant kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jan 2002 Nationality: Indian
Place of Birth: Amritsar Personal Identification Mark: light mole on nose
Blood Group: B + Address for Communication: h/no F22/6457,INDRA COLONY,TUNGPAI,BATALA ROAD h/no F22/6457,INDRA COLONY,TUNGPAI,BATALA ROAD h/no F22/6457,INDRA COLONY,TUNGPAI,BATALA ROAD
State: Punjab Country: India
Pin: 143001 City/District: Amritsar
Mobile no: 7986075044 Telephone No. with STD code: 9780004142
Aadhar Card No:629043252411 E-mail: samattri143@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SUBHASH CHANDER ATTRI Relationship with candidate: FATHER
Parents Date of Birth: 05 Aug 1971 Parent's/Guardian's Occupation/Designation: POLICE OFFICER
   
Office Address:
   
Address: SSP OFFICE AMRITSAR RURAL SSP OFFICE AMRITSAR RURAL
Country: India State: Punjab
City/District: Amritsar Pin: 143001
Tel: 9780004142 Mobile no.: 9780004142
Fax: Email: sc0425582@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Punjab
School: MODERN HIGH SCHOOL School: BHABHA PUBLIC SCHOOL
City: Amritsar City: AMRITSAR
English %: 79 Board Roll No./Seat No.: 2020004792
Aggregate Percentage: 65 School/College Code: 3010128
  Centre code: 11030
  Address of School/College: SRI RAM AVENUE 143001
  Pin: 141111
  Contact Nos:
  Email: sc0425582@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 86 86
Chemistry 100 87 87
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 86
English 75 53 70.67
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2017 FOOTBALL SCHOOL 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I READ BOOKS OF MATHS,PHYSICS,HISTORY,CHEMISTRY. I DAILY GOES FOR WORKOUT AS I LIKE TO BE FIT.
Why do you wish to join TMI?: IT IS MY DREAM TO BE A NAVY OFFICER AND I WILL DO ANYTHING AND WILL WORK HARD AND SMART TO BE A GOOD CADET
What are your hobbies?: I LIKES TO PLAY FOOTBALL,BODY BUILDING, I LIKES TO HELP ANIMALS.
What are your strengths?: ENTHUSIASM,DETERMINATION,
What are your weaknesses?: BEING TOO HONEST,CREATIVITY
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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