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: DNS2179934 Name: ABHAY SINGH NEGI
  Address: BANIYAWALA PREM NAGAR-705556890 BANIYAWALA PREM NAGAR ,UTTARAKHAND -7895474417
Telephone No.: Mobile no: 7055565890
E-mail: abhaynegi333@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: 430928125
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179934 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: DNS2179934
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ABHAY SINGH NEGI
Mother's Name: PREETI NEGI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Jan 2003 Nationality: INDIAN
Place of Birth: DERA BASSI Personal Identification Mark: MOLE ON THE RIGHT CHEEK
Blood Group: AB + Address for Communication: BANIYAWALA PREM NAGAR-705556890 BANIYAWALA PREM NAGAR ,UTTARAKHAND -7895474417
State: Uttaranchal Country: India
Pin: 248007 City/District: DEHRADUN
Mobile no: 7055565890 Telephone No. with STD code:
Aadhar Card No:984958940780 E-mail: abhaynegi333@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DEEPAK SINGH NEGI Relationship with candidate: FATHER
Parents Date of Birth: 02 Oct 1971 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: BANIYAWALA PREM NAGAR
Country: India State: Uttaranchal
City/District: DEHRADUN Pin: 248007
Tel: Mobile no.: 7895474417
Fax: Email: deepaknegip@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: THE ROYAL COLLEGE School: THE ROYAL COLLEGE
City: Dehradun City: DEHRADUN
English %: 77 Board Roll No./Seat No.: 25611385
Aggregate Percentage: 83 School/College Code: 81491
  Centre code: 8047
  Address of School/College: ASHOK ASHRAM ,VIKAS NAGAR
  Pin: 248198
  Contact Nos:
  Email: principal@royalcollege.in
  Aggregate Percentage: 77
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 79 79
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 69.67
English 100 87 87
   
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
05/2016 FOOTBALL INTERHOUSE 2ND
08/2017 BASKETBALL INTERHOUSE 3RD
09/2018 BASKETBALL DISTRICT 2ND
11/2019 BASKETBALL INTERHOUSE 3RD
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: TRAVELLING,STUDYING ,CREATIVE ARTS.
Why do you wish to join TMI?: FOR GOOD ENVIRONMENT, FACULTY AND THE BETTER FUTURE
What are your hobbies?: BASKETBALL ,CREATIVE ART.
What are your strengths?: WORKOUT
What are your weaknesses?: MY WEAKNESS DEPENDS ON THE SITUATION ALLOTTED
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 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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