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: DNS2178357 Name: KARAN SHARMA
  Address: C/O GURDEEP KHOKHAR H.NO 207 V.P.O SAKETRI DISTRICT PANCHKULA C/O GURDEEP KHOKHAR H.NO 207 V.P.O SAKETRI DISTRICT PANCHKULA
Telephone No.: 09350176936 Mobile no: 9350176936
E-mail: hkhkumar2@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: 429271758
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178357 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: DNS2178357
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KARAN SHARMA
Mother's Name: SHEETAL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jun 2003 Nationality: INDIAN
Place of Birth: PANCHKULA Personal Identification Mark: MOLE ON RIGHT HAND
Blood Group: A + Address for Communication: C/O GURDEEP KHOKHAR H.NO 207 V.P.O SAKETRI DISTRICT PANCHKULA C/O GURDEEP KHOKHAR H.NO 207 V.P.O SAKETRI DISTRICT PANCHKULA
State: Haryana Country: India
Pin: 134109 City/District: PANCHKULA
Mobile no: 9350176936 Telephone No. with STD code: 09350176936
Aadhar Card No:290052035626 E-mail: hkhkumar2@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: HARISH KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 22 Dec 1976 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: THE BRITISH SCHOOL SECTOR 12 PANCHKULA THE BRITISH SCHOOL SECTOR 12 PANCHKULA
Country: India State: Haryana
City/District: PANCHKULA Pin: 134109
Tel: Mobile no.: 7009842898
Fax: Email: hkhkumar2@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: THE GURUKUL School: HANSRAJ PUBLIC SCHOOL
City: PANCHKULA City: PANCHKULA
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Centre code:
  Address of School/College: SECTOR 6 PANCHKULA
  Pin: 134109
  Contact Nos: 7837656603
  Email: hkhkumar2@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2015 SQAY NATIONAL SCHOOL GAMSE SECOND
01/2016 SQAY NATIONAL SCHOOL GAMES FIRST
11/2016 SQAY NATIONAL SCHOOL GAMES FIRST
08/2016 CHESS STATE SENIOR CHESS CHAMPIONSHIP SECOND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: BY PREPARING FOR MY IMU CET EXAM AND ALSO BY PREPARING FOR MY TOURNAMENTS
Why do you wish to join TMI?: IT IS THE BEST INSTITUTE FOR MARINE TRAINING SO THATSWHY I WANT TO JOIN TMI.
What are your hobbies?: PLAYING CHESS AND LISTENING MUSIC
What are your strengths?: FOCUSED, HONESTY AND DEDICATION
What are your weaknesses?: PUBLIC SPEAKING AND PRESENTATION SKILLS
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 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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