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: DNS2178315 Name: DHAIRYA GUPTA
  Address: H.NO -1 RAGHAV PURAM COLONY , BHUTESHWAR MANDIR ROAD SAHARANPUR
Telephone No.: 09997993023 Mobile no: 9997993023
E-mail: dhairyagupta198@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 429237260
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178315 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: DNS2178315
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DHAIRYA GUPTA
Mother's Name: PARUL GUPTA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jan 2003 Nationality: INDIAN
Place of Birth: BEHAT Personal Identification Mark: CUT ON LEFT CHEEK
Blood Group: AB + Address for Communication: H.NO -1 RAGHAV PURAM COLONY , BHUTESHWAR MANDIR ROAD SAHARANPUR
State: Uttar Pradesh Country: India
Pin: 247001 City/District: Saharanpur
Mobile no: 9997993023 Telephone No. with STD code: 09997993023
Aadhar Card No:373828008272 E-mail: dhairyagupta198@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DEVENDRA KUMAR GUPTA Relationship with candidate: FATHER
Parents Date of Birth: 02 Mar 1972 Parent's/Guardian's Occupation/Designation: BUSINESS MAN
   
Office Address:
   
Address: RAGHAV DEPARTMENTAL STORE TOTA CHOCK SAHARANPUR
Country: India State: Uttar Pradesh
City/District: Saharanpur Pin: 247001
Tel: 09997993023 Mobile no.: 9719404607
Fax: Email: ujjwalgupta198@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 %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: CHILKANA ROAD , SAHARANPUR , UTTAR PRADESH
  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
10/2018 ACTING SCHOOL LEVEL FIRST POSITION
11/2019 SCOUTS AND GUIDES CAMP SCHOOL LEVEL THIRD POSITION
06/2015 CRICKET TOURNAMENT DISTRICT LEVEL WINNER
05/2018 COOKING COMPETITION SCHOOL LEVEL SECOND POSITION
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL TRY TO IMPROVE MY ENGLISH SPEAKING SKILL AND I WILL LIKE TO LEARN WORKING ON COMPUTER
Why do you wish to join TMI?: AA TMI IS ONE OF THE MOST REPUTED COLLEGE IN THIS FIELD, HAVE EXCELLENT PLACEMENT RECORD, GREAT INFRASTRUCTURE
What are your hobbies?: PLAYING CRICKET AND FOOTBALL
What are your strengths?: DIAMOND SCALE OF TEAM WORK AND TIME MANAGEMENT
What are your weaknesses?: USUALLY TRUST PEOPLE 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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