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: DNS2176719 Name: RAHUL GUPTA
  Address: MEHRA PURWA , DEORIA BHUJAULI COLONY, DEORIA
Telephone No.: Mobile no: 7007298733
E-mail: rahulg70072@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: 427414355
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176719 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: DNS2176719
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RAHUL GUPTA
Mother's Name: NEHA GUPTA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2003 Nationality: INDIAN
Place of Birth: DEORIA Personal Identification Mark: MOLE ON LEFT EAR
Blood Group: AB + Address for Communication: MEHRA PURWA , DEORIA BHUJAULI COLONY, DEORIA
State: Uttar Pradesh Country: India
Pin: 274001 City/District: Deoria
Mobile no: 7007298733 Telephone No. with STD code:
Aadhar Card No:573297883446 E-mail: rahulg70072@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MANOJ GUPTA Relationship with candidate: FATHER
Parents Date of Birth: 01 Apr 1995 Parent's/Guardian's Occupation/Designation: BUSINESSMAN
   
Office Address:
   
Address: MEHRA PURWA , DEORIA BHUJAULI COLONY, DEORIA
Country: India State: Uttar Pradesh
City/District: Deoria Pin: 274001
Tel: 09838641329 Mobile no.: 9838641329
Fax: Email: manojgupta98389@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DEORIA SENIOR SECONDARY SCHOOL School: DEORIA SENIOR SECONDARY SCHOOL
City: DEORIA City: DEORIA
English %: 80 Board Roll No./Seat No.: 23618401
Aggregate Percentage: 81 School/College Code: 70306
  Centre code: 7060
  Address of School/College: KASIA BYPASS ROAD,DEORIA ,UTTAR PRADESH
  Pin: 274001
  Contact Nos: 7007298733
  Email: rahulg70072@gmail.com
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 68 68
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 75.33
English 100 90 90
   
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
08/2013 best student of the year school 1st
08/2014 best student of the year school 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am spending most of my time for preparing of IMU and sponsorship of different companies and due to lock down i am spending most of time in home
Why do you wish to join TMI?: because TMI is one of the most reputed institute for maritime studies in India and according to my knowledge TMI provide better quality education and training to there students
What are your hobbies?: listening songs and drawing
What are your strengths?: i do not get upset easily and i always try to remain cool and calm
What are your weaknesses?: i am slightly shy
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
 
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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