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: DNS2177964 Name: KARAN MALIYA
  Address: b-387b nehru ground NIT faridabad
Telephone No.: 01294039512 Mobile no: 9996621793
E-mail: kkmaliya87@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: 428759594
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177964 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: DNS2177964
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KARAN MALIYA
Mother's Name: savita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Dec 2000 Nationality: INDIAN
Place of Birth: PALWAL Personal Identification Mark: mark on head
Blood Group: A + Address for Communication: b-387b nehru ground NIT faridabad
State: Haryana Country: India
Pin: 121001 City/District: faridabad
Mobile no: 9996621793 Telephone No. with STD code: 01294039512
Aadhar Card No: E-mail: kkmaliya87@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: vedpal Relationship with candidate: father
Parents Date of Birth: 04 Apr 1975 Parent's/Guardian's Occupation/Designation: shopkeeper
   
Office Address:
   
Address: b-387b nehru ground NIT faridabad
Country: India State: Haryana
City/District: faridabad Pin: 121001
Tel: Mobile no.: 9953929701
Fax: Email: lakhanmissa@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: lingayas public school School: SPS international school
City: faridabad City: palwal
English %: 85 Board Roll No./Seat No.: 2622701
Aggregate Percentage: 89 School/College Code: 20696
  Centre code: 530657
  Address of School/College: Huda, Sec-2, Palwal - 121102
  Pin: 121102
  Contact Nos:
  Email: spsinternationalpalwal@gmail.com
  Aggregate Percentage: 89
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 87 87
Mathematics 100 97 97
Physics, Chemistry & Mathematics combined Percentage: 89
English 100 90 90
   
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
08/2019 iit guwuhati robotics compition national not secured
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent my time preparing for NDA and other competitive exams.
Why do you wish to join TMI?: Because TMI is a very reputed institution and has great infrastructure for the course
What are your hobbies?: making personal projects
What are your strengths?: I am amiable and do my work with full concentration
What are your weaknesses?: impatience to try new things
How do you intend to meet the expenses of this program?: Own Resources,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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