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: DNS2179169 Name: uday mishra
  Address: chandreshwar nagar rishikesh chandreshwar nagar rishikesh chandreshwar nagar rishikesh
Telephone No.: Mobile no: 8273399448
E-mail: udaymishra743@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430297329
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179169 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: DNS2179169
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: uday mishra
Mother's Name: seema mishra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jul 2004 Nationality: India
Place of Birth: uttrakhand Personal Identification Mark: mole on face
Blood Group: B + Address for Communication: chandreshwar nagar rishikesh chandreshwar nagar rishikesh chandreshwar nagar rishikesh
State: Uttaranchal Country: India
Pin: 249201 City/District: dehradun
Mobile no: 8273399448 Telephone No. with STD code:
Aadhar Card No:257830193917 E-mail: udaymishra743@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: seema mishra Relationship with candidate: mother
Parents Date of Birth: 02 Feb 1980 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: chandreshwar nagar rishikesh chandreshwar nagar rishikesh chandreshwar nagar rishikesh
Country: India State: Uttaranchal
City/District: dehradun Pin: 249201
Tel: Mobile no.: 9410729930
Fax: Email: nuday812@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttaranchal Board: Uttaranchal
School: SPNIC School: SPNIC
City: RISHIKESH City: RISHIKESH
English %: 60 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Centre code:
  Address of School/College: MUNI KI RETI TEHRI GARHWAL
  Pin: 249201
  Contact Nos: 8273399448
  Email: udaymishra743@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
05/2020 badminton district 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i am still in 12
Why do you wish to join TMI?: because TMI is a one of big companies
What are your hobbies?: workout reading books
What are your strengths?: street smart
What are your weaknesses?: nothing
How do you intend to meet the expenses of this program?: Own Resources,Other - i selled my land
 
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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