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: DNS2176843 Name: Rajat bhatnagar
  Address: Himachal pradesh solan Panjehra, gulaabpura Dr. Baldeev house
Telephone No.: Mobile no: 9717902285
E-mail: rajatbhatnagar78@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 428518066
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176843 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2176843
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rajat bhatnagar
Mother's Name: Rachna bhatnagar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Jun 2002 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: No
Blood Group: B + Address for Communication: Himachal pradesh solan Panjehra, gulaabpura Dr. Baldeev house
State: Himachal Pradesh Country: India
Pin: 174101 City/District: Himachal pradesh solan
Mobile no: 9717902285 Telephone No. with STD code:
Aadhar Card No:664283550420 E-mail: rajatbhatnagar78@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajeev bhatnagar Relationship with candidate: Father
Parents Date of Birth: 22 Aug 1982 Parent's/Guardian's Occupation/Designation: Engineering
   
Office Address:
   
Address: Himachal pradesh solan Panjehraa, gulaabpura Dr. Baldeev house
Country: India State: Himachal Pradesh
City/District: Himachal pradesh solan Pin: 174101
Tel: Mobile no.: 9717902285
Fax: Email: rajatbhatnagar78@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: Himachal Pradesh
School: Sd public secondary school School: Shivalik public secondary school
City: Delhi City: Himachal pradesh solan
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 54 School/College Code:
  Centre code:
  Address of School/College: Himachal pradesh solan Panjehraa, gulaabpura Dr. Baldeev house
  Pin: 174101
  Contact Nos: 09717902285
  Email: rajatbhatnagar78@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 am member of a group whose name is aadi manushya who clear the states to develop clean everywhere to make our country beautiful
Why do you wish to join TMI?: Because I need to do dns course and need sponsorship to create my future in merchant Navy
What are your hobbies?: Dancing, playing - cricket, football, ballyball
What are your strengths?: My patients and my determination to my work
What are your weaknesses?: Lossing hope when everyone treating me as I can not do anything
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 Class XII admit card Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form