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: DNS2177879 Name: Harsh pratap
  Address: House no.B 173 street no. 14 Nasir pur palam colony
Telephone No.: Mobile no: 9355335242
E-mail: harshpratap20031435@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 429258878
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177879 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: DNS2177879
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harsh pratap
Mother's Name: Mamta singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Oct 2003 Nationality: Indian
Place of Birth: Uttar prade Personal Identification Mark: Strech marks on shoulders
Blood Group: A + Address for Communication: House no.B 173 street no. 14 Nasir pur palam colony
State: Delhi Country: India
Pin: 110045 City/District: Palam
Mobile no: 9355335242 Telephone No. with STD code:
Aadhar Card No: E-mail: harshpratap20031435@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ajay kumar singh Relationship with candidate: Father
Parents Date of Birth: 30 Oct 1969 Parent's/Guardian's Occupation/Designation: Ndmc employee
   
Office Address:
   
Address: New delhi corporation municipal council Health department malaria unit baired lane Gole market
Country: India State: Delhi
City/District: New delhi Pin: 110001
Tel: Mobile no.: 9868675587
Fax: Email: ajaykumar19691985@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Rahul model public school School: Navyug school mandir marg
City: Delhi City: New delhi
English %: 74 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: Mandir marg
  Pin: 110001
  Contact Nos:
  Email: harshpratap20031435@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 ?: In preparing for competitive exams to get better colledges
Why do you wish to join TMI?: I heard ita one of the best colledge with great placements.
What are your hobbies?: Like to play games like cricket, vollyball,etc
What are your strengths?: My mindset probably.
What are your weaknesses?: My sof heart ,humble and easily believing nature
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

 

___________________

Date ________________

 
Print Summary and Application Form