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: DNS2179481 Name: jai malhotra
  Address: house no. 4 dayal baqh opp. hanuman mandir
Telephone No.: Mobile no: 9350584696
E-mail: malhotrajai2003@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: 430454397
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179481 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: DNS2179481
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: jai malhotra
Mother's Name: payal malhotra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jul 2003 Nationality: Indian
Place of Birth: ambala cant Personal Identification Mark: cut on left eyebrow
Blood Group: AB + Address for Communication: house no. 4 dayal baqh opp. hanuman mandir
State: Haryana Country: India
Pin: 133001 City/District: ambala cantt
Mobile no: 9350584696 Telephone No. with STD code:
Aadhar Card No:987708832627 E-mail: malhotrajai2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: mukesh malhotra Relationship with candidate: father
Parents Date of Birth: 06 Jan 1974 Parent's/Guardian's Occupation/Designation: bussiness
   
Office Address:
   
Address: shop no. 37/38 vashisht nagar
Country: India State: Haryana
City/District: ambala cantt Pin: 133001
Tel: Mobile no.: 9416916173
Fax: Email: malhotrajai2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: cecil convent school School: cecil convent school
City: ambala cantt City: ambala cantt
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Centre code:
  Address of School/College: ambala cantt opp gpo
  Pin: 133001
  Contact Nos: 9350584696
  Email: malhotrajai2003@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
08/2018 roller skating distruct level 2nd
07/2019 cricket district level 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL INDULGE MYSELF IN SOMETHING NEW AND INTERESTING , I WILL WORK MORE ON MY PHYSICAL FITNESS AND OTHER BASIC OPERATIONS
Why do you wish to join TMI?: I HAVE SEEN ABOUT YOUR ORGANISATION ON THE WEB AND I LIKED YOUR FACULTY , ALSO IT IS A HIGHLY REPUTED ORGANISATION
What are your hobbies?: TRAVELLING,READING
What are your strengths?: PATIENCE, DISCIPLINE,DEDICATION
What are your weaknesses?: MULTITASKING,OVERTHINKING
How do you intend to meet the expenses of this program?: 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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