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: DNS2179183 Name: Abhay Singh Choudhary
  Address: 444 Balliwala Chowk GMS Road kanwali dehradun
Telephone No.: 01359084779955 Mobile no: 9084779955
E-mail: abhaychoudhary992@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: 430385010
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179183 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: DNS2179183
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abhay Singh Choudhary
Mother's Name: Amita Choudhary
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Mar 2004 Nationality: INDIAN
Place of Birth: Dehradun Personal Identification Mark: birth mark on left shoulder
Blood Group: O - Address for Communication: 444 Balliwala Chowk GMS Road kanwali dehradun
State: Uttaranchal Country: India
Pin: 248001 City/District: Dehradun
Mobile no: 9084779955 Telephone No. with STD code: 01359084779955
Aadhar Card No:640563057232 E-mail: abhaychoudhary992@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Amita Chaudhary Relationship with candidate: mother
Parents Date of Birth: 18 Mar 1977 Parent's/Guardian's Occupation/Designation: Government Job
   
Office Address:
   
Address: Cannt Head Post Office Dehradun
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248001
Tel: 01359557492989 Mobile no.: 8630096125
Fax: Email: abhaych5990@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Uttaranchal Board: Uttaranchal
School: The Heritage Scool School: The Heritage School
City: Dehradun City: Dehradun
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: 14/6 new road Dehradun
  Pin: 248001
  Contact Nos: 01352656155
  Email: heritageddn@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
05/2015 Table Tennis Inter House 1st
05/2016 Table Tennis Inter House 2nd
05/2017 Table Tennis Inter House 1st
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2019 Swimming 2 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: If there was no covid I would have prepared for my sponsorship and IMU-CET entrance exam meanwhile.
Why do you wish to join TMI?: TMI will provide me the opportunity to get exposure to the outer world which will help in my self-development in a number of ways
What are your hobbies?: Playing football
What are your strengths?: I am a great team player and I try to complete task in given time frame
What are your weaknesses?: I just concentrate on one thing at a time
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 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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