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: DNS2178094 Name: Anmol Bahuguna
  Address: 84,Cement Road Block 2
Telephone No.: Mobile no: 7247826981
E-mail: amoli13092003@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: 428932540
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178094 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: DNS2178094
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Anmol Bahuguna
Mother's Name: Shobha Bahuguna
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Sep 2003 Nationality: Indian
Place of Birth: Dehradun Personal Identification Mark: None
Blood Group: AB + Address for Communication: 84,Cement Road Block 2
State: Uttaranchal Country: India
Pin: 248001 City/District: Dehradun
Mobile no: 7247826981 Telephone No. with STD code:
Aadhar Card No:788777911328 E-mail: amoli13092003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj Bahuguna Relationship with candidate: Father
Parents Date of Birth: 05 Aug 1973 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 84,Cement Road Block 2
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248001
Tel: Mobile no.: 9897358536
Fax: Email: amoli13092003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: New Doon Blossoms school School: New Doon Blossoms school
City: Dehradun City: Dehradun
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: Chakdanda lakhond ,sahastradhara road , dehradun uttrakhand
  Pin: 248001
  Contact Nos:
  Email: newdoonblossoms@rediffmail.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 ?: I will spend my time for preparing for imucet and sponsorship exams
Why do you wish to join TMI?: It is a very well known college for merchant navy with a very good placement record and with topnotch training to future cadets
What are your hobbies?: I love playing cricket and doing workout.
What are your strengths?: Not much but with good interaction skills .
What are your weaknesses?: Feels a little bit nervous sometimes.
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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