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: DNS2176721 Name: UTSAV
  Address: Narayan Vihar Colony Gola Ka mandir , Gwalior.
Telephone No.: Mobile no: 8962347469
E-mail: utsav.forwork@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427412291
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176721 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: DNS2176721
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: UTSAV
Mother's Name: Mamta Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Oct 2001 Nationality: Indian
Place of Birth: Pathankot Personal Identification Mark: Mole on forehead
Blood Group: O + Address for Communication: Narayan Vihar Colony Gola Ka mandir , Gwalior.
State: Madhya Pradesh Country: India
Pin: 474005 City/District: Gwalior
Mobile no: 8962347469 Telephone No. with STD code:
Aadhar Card No:652140779271 E-mail: utsav.forwork@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Devendra Singh Relationship with candidate: Father
Parents Date of Birth: 05 Jul 1971 Parent's/Guardian's Occupation/Designation: Retired from Defence
   
Office Address:
   
Address: Narayan Vihar Colony Gola Ka mandir, Gwalior
Country: India State: Maharashtra
City/District: Gwalior Pin: 474005
Tel: Mobile no.: 9653772891
Fax: Email: utsav.bhadauriya8602@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Army Public School School: Army Public School
City: Gwalior City: Gwalior
English %: 75 Board Roll No./Seat No.: 19617320
Aggregate Percentage: 78 School/College Code: 54002
  Centre code: 1677
  Address of School/College: Army Public School , Morar Cant Gwalior
  Pin: 474005
  Contact Nos:
  Email: armypublicschoolgwalior@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 73 73
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 73.67
English 100 95 95
   
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
11/2020 Parade Interhouse 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Exploring on Youtube , Daily Workout .
Why do you wish to join TMI?: Its a reputed Institute which is providing a great startup to the students who are making their career in merchant navy.
What are your hobbies?: Driving , Photography , Parade .
What are your strengths?: Punctual , adaptable ,Hardworking with smart ways.
What are your weaknesses?: Emotional .
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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