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: DNS2177775 Name: KRISH JAIN
  Address: HOUSE NO. 5/6, LABOUR COLONY SHARDA NAGAR NEAR SHIV MANDIR
Telephone No.: Mobile no: 8273941467
E-mail: jainkrish238@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432734175
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177775 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: DNS2177775
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KRISH JAIN
Mother's Name: SHALU JAIN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Jun 2003 Nationality: INDIAN
Place of Birth: SAHARANPUR Personal Identification Mark: MOLE IN LEFT EYE
Blood Group: O + Address for Communication: HOUSE NO. 5/6, LABOUR COLONY SHARDA NAGAR NEAR SHIV MANDIR
State: Uttar Pradesh Country: India
Pin: 247001 City/District: SAHARANPUR
Mobile no: 8273941467 Telephone No. with STD code:
Aadhar Card No:501399689646 E-mail: jainkrish238@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHALU JAIN Relationship with candidate: MOTHER
Parents Date of Birth: 15 Dec 1977 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: AD MEMORIAL JUNIOR HIGH SCHOOL CHILKANA NEAR BUS STAND CHILKANA
Country: India State: Uttar Pradesh
City/District: SAHARANPUR Pin: 247001
Tel: Mobile no.: 8273114752
Fax: Email: shalujain8547@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: LORD MAHAVIRA ACADEMY School: LORD MAHAVIRA ACADEMY
City: SAHARANPUR City: SAHARANPUR
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 66 School/College Code:
  Centre code:
  Address of School/College: CHILKANA ROAD, SAHARANPUR
  Pin: 247001
  Contact Nos:
  Email: lord_mahavira_academy@yahoo.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
10/2014 JUDO CHAMPIONSHIP CBSE STATE CHAMPIONSHIP THIRD
10/2016 JUDO CHAMPIONSHIP CBSE STATE LEVEL SECOND
10/2015 JUDO CHAMPIONSHIP DISTRICT MINI OLYMPIC FIRST
09/2015 POETIC COMPETITION SCHOOL LEVEL FiRST
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2015 DANCE ACADEMICS ONE MONTH
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I HAVE NOT GIVEN THE EXAM OF CLASS 12TH
Why do you wish to join TMI?: I WANNA JOIN TMI BECAUSE IT IS VERY REPUTATED INSTITUTE IN MARITIME INDUSTRIES. WORLDS MOST FINEST COMPANIES ARE TIED WITH THIS INSTITUTE
What are your hobbies?: JUDO, DANCING,RAPING
What are your strengths?: I FEEL I AM GOOD IN TEAM WORK ALWAYS GIVE MY 100 PERCENT WHATEVER WORK IS GIVEN TO ME
What are your weaknesses?: I TRUST PEOPLE VERY EASILY
How do you intend to meet the expenses of this program?: Own 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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