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: DNS2179581 Name: Divya
  Address: V. P. O. Kolar Paonta sahib Himachal pradesh
Telephone No.: 08278734823 Mobile no: 8278783543
E-mail: divyakundlas4@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: 430672862
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179581 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: DNS2179581
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Divya
Mother's Name: Rajo devi
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Mar 2004 Nationality: Indian
Place of Birth: Himachal pr Personal Identification Mark: No
Blood Group: B + Address for Communication: V. P. O. Kolar Paonta sahib Himachal pradesh
State: Himachal Pradesh Country: India
Pin: 173001 City/District: Paonta sahib
Mobile no: 8278783543 Telephone No. with STD code: 08278734823
Aadhar Card No:945306045656 E-mail: divyakundlas4@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Pawan kumar Relationship with candidate: Father
Parents Date of Birth: 15 Jan 1982 Parent's/Guardian's Occupation/Designation: Ex. Service man
   
Office Address:
   
Address: V. P. O. Kolar Paonta sahib Himachal pradesh
Country: India State: Himachal Pradesh
City/District: Paonta sahib Pin: 173001
Tel: 08278734823 Mobile no.: 7018671254
Fax: Email: divyakundlas4@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Himachal Pradesh
School: Divine wisdom school School: Government senior secondary school
City: Paonta sahib City: Paonta sahib
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: V. P. O kolar tehsil paonta sahib sirmaur Himachal pradesh
  Pin: 173001
  Contact Nos: 08278734823
  Email: divyakundlas4@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 ?: Preparing for imucet and boards
Why do you wish to join TMI?: It is one of the best institute
What are your hobbies?: Dancing , playing badminton
What are your strengths?: My family
What are your weaknesses?: My anger
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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