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: DNS2177003 Name: NOHAR LAL
  Address: Railway colony Singrauli qtr no. 65A type 2 Singrauli Railway loco colony QTR NO 65A TYPE 2
Telephone No.: 6260111655 Mobile no: 6260111655
E-mail: lalnohar575@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427746599
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177003 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: DNS2177003
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NOHAR LAL
Mother's Name: SUDHA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Aug 2001 Nationality: INDIAN
Place of Birth: REWA MP Personal Identification Mark: BURN IN MIDDLE CHEST
Blood Group: AB + Address for Communication: Railway colony Singrauli qtr no. 65A type 2 Singrauli Railway loco colony QTR NO 65A TYPE 2
State: Madhya Pradesh Country: India
Pin: 486889 City/District: Singrauli
Mobile no: 6260111655 Telephone No. with STD code: 6260111655
Aadhar Card No:538612151580 E-mail: lalnohar575@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: YAGYA LAL HARIJAN Relationship with candidate: SON
Parents Date of Birth: 01 Oct 1976 Parent's/Guardian's Occupation/Designation: CENTRAL GOVT. EMPLOYEE
   
Office Address:
   
Address: SSE LOCO SINGRAULI. MP SSE LOCO SINGRAULI. MP SSE LOCO SINGRAULI. MP
Country: India State: Madhya Pradesh
City/District: Singrauli Pin: 486889
Tel: 8756997423 Mobile no.: 8756997423
Fax: Email: ylharijan1976@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DAV CWS JAYANT SINGRAULI MP School: KENDRIYA VIDYALAYA CWS JAYANT SGRL MP
City: SINGRAULI City: Singrauli
English %: 51 Board Roll No./Seat No.:
Aggregate Percentage: 57 School/College Code:
  Centre code:
  Address of School/College: Railway colony Singrauli room number 65A Singrauli
  Pin: 486889
  Contact Nos: 6260111655
  Email: lalnohar575@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2015 Athletics Inter school sports 4th
10/2015 Kho kho Inter school sports 4th
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I prepare for IMU CET exam
Why do you wish to join TMI?: 1.For my DNS Coarse
What are your hobbies?: Playing Volleyball
What are your strengths?: Dealing with peoples is my strength
What are your weaknesses?: Its very difficult to satisfy myself.
How do you intend to meet the expenses of this program?: Other - By parents 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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