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: DNS2177268 Name: Karandeep Singh Rana
  Address: 13,Sanjay calony Patel Nagar
Telephone No.: 07078765325 Mobile no: 7078765325
E-mail: deepkaranrana99@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 428304934
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177268 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: DNS2177268
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Karandeep Singh Rana
Mother's Name: Shashi Rana
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Apr 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: Injury mark on left foot
Blood Group: B + Address for Communication: 13,Sanjay calony Patel Nagar
State: Uttaranchal Country: India
Pin: 248001 City/District: Dehradun
Mobile no: 7078765325 Telephone No. with STD code: 07078765325
Aadhar Card No:854210730656 E-mail: deepkaranrana99@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Narendra Rana Relationship with candidate: Father
Parents Date of Birth: 02 Feb 1971 Parent's/Guardian's Occupation/Designation: Private service
   
Office Address:
   
Address: 13,Sanjay calony Patel Nagar
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248001
Tel: Mobile no.: 8077724604
Fax: Email: ns.rana54@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Shri Guru Ram Rai Public school School: Shri Guru Ram Rai Public school
City: Dehradun City: Dehradun
English %: 76 Board Roll No./Seat No.: 25603200
Aggregate Percentage: 67 School/College Code: 3530059
  Centre code: 08963
  Address of School/College: Patel Nagar Dehradun
  Pin: 248001
  Contact Nos:
  Email: ptn.sgrr@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 58 58
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 80 80
   
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
06/2019 Football District Level DYFL 4th
12/2021 Football Inter School Reliance Foundation Cup 3rd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for IMUCET and Sponsorship exams. Playing Football. Workout in Gymnasium
Why do you wish to join TMI?: I saw its reviews on YouTube and surfed tmi website i liked it.
What are your hobbies?: Football, Gymnasium
What are your strengths?: Discipline, Calm
What are your weaknesses?: Weak in theory part.
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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