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: DNS2178623 Name: aditya suryansh
  Address: mm/d1/315 lda colony kanpur road lucknow parag diary ,lucknow
Telephone No.: Mobile no: 8317041678
E-mail: alpanagautam9454@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 429565806
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178623 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: DNS2178623
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: aditya suryansh
Mother's Name: suneeta gautam
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 May 2003 Nationality: Indian
Place of Birth: lucknow Personal Identification Mark: no
Blood Group: O + Address for Communication: mm/d1/315 lda colony kanpur road lucknow parag diary ,lucknow
State: Uttar Pradesh Country: India
Pin: 226012 City/District: lucknow
Mobile no: 8317041678 Telephone No. with STD code:
Aadhar Card No:579923629310 E-mail: alpanagautam9454@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: suryanath prasad Relationship with candidate: father
Parents Date of Birth: 30 Mar 1973 Parent's/Guardian's Occupation/Designation: electrical officer
   
Office Address:
   
Address: mm/d1/315 lda colony kanpur road lucknow parag diary ,lucknow
Country: India State: Uttar Pradesh
City/District: lucknow Pin: 226012
Tel: Mobile no.: 9454058027
Fax: Email: adityasuryansh805@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Chiranjiv Bharati School School: chiranjiv bharati school
City: lucknow City: lucknow
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: Ashiyana Colony, Sector M, Ashiyana, Lucknow, Uttar Pradesh
  Pin: 226012
  Contact Nos:
  Email: adityasuryansh805@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 ?: joining the hobby classes and attending the career counseling session
Why do you wish to join TMI?: because there is a lot of opportunities in tmi there were dozens of companies visit in tmi and it is one of the best college of the sea courses in india
What are your hobbies?: playing volleyball watching movies reading book
What are your strengths?: i never give up and doing any work with full dedication
What are your weaknesses?: sometimes doing a lot of work i forgot about the food
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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