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: DNS2177915 Name: GAGAN DANDONA
  Address: 1/10 LAJPAT NAGAR CHOWK LUCKNOW
Telephone No.: Mobile no: 9555372491
E-mail: gagandandona2001@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 428702007
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177915 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: DNS2177915
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GAGAN DANDONA
Mother's Name: SHAKTI DANDONA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Feb 2001 Nationality: INDIAN
Place of Birth: LUCKNOW Personal Identification Mark: CUT MARK ON BACKSIDE OF HEAD
Blood Group: B + Address for Communication: 1/10 LAJPAT NAGAR CHOWK LUCKNOW
State: Uttar Pradesh Country: India
Pin: 226003 City/District: LUCKNOW
Mobile no: 9555372491 Telephone No. with STD code:
Aadhar Card No:752835165499 E-mail: gagandandona2001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJEEV KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 02 Jul 1986 Parent's/Guardian's Occupation/Designation: BUSINESSMAN
   
Office Address:
   
Address: DASEHARI MOD HARDOI ROAD LUCKNOW
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226000
Tel: Mobile no.: 8756552762
Fax: Email: karan95dandona@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: ST CLAIRS CONVENT SCHOOL School: SR GLOBAL SCHOOL
City: LUCKNOW City: LUCKNOW
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 60 School/College Code:
  Centre code:
  Address of School/College: BAKSHI KA TALAB LUCKNOW
  Pin: 226201
  Contact Nos: 7617000003
  Email: srgloballucknow@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 ?: Reading personality improvement books, exploring about merchant Navy, About College, academic life and after the college life
Why do you wish to join TMI?: The name of institute itself is enough for me to join the college.
What are your hobbies?: Dancing, reading, Anchoring/Speeches, Basketball,
What are your strengths?: My positive attitude towards all jobs in my life is my biggest strength
What are your weaknesses?: Sometimes I Over rely on people.
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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