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: DNS2180355 Name: Gauttam sudhir sharma
  Address: Trimurti Heights-401 Ulwe, sector-18, plot no-75
Telephone No.: Mobile no: 9987878590
E-mail: gautamsharma8830@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431320208
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2180355 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: DNS2180355
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Gauttam sudhir sharma
Mother's Name: Rekha sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Aug 2003 Nationality: Indian
Place of Birth: Rajasthan Personal Identification Mark: None
Blood Group: B + Address for Communication: Trimurti Heights-401 Ulwe, sector-18, plot no-75
State: Maharashtra Country: India
Pin: 410206 City/District: Navi mumbai
Mobile no: 9987878590 Telephone No. with STD code:
Aadhar Card No:807393437176 E-mail: gautamsharma8830@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sudhir Sharma Relationship with candidate: Father
Parents Date of Birth: 09 Jul 1967 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Raw House,sector-12 plot no-E-12 , Near M.S.E.B Office,Behind Fire station KHARGHAR,NAVI MUMBAI
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 410210
Tel: Mobile no.: 9323291633
Fax: Email: mannu_cargo_movers@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: RYAN INTERNATIONAL SCHOOL School: RYAN INTERNATIONAL SCHOOL
City: Navi Mumbai City: Navi mumbai
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Centre code:
  Address of School/College: Plot No, 34, St Nirankari Marg, Sector 10, Sanpada, Navi Mumbai, Maharashtra
  Pin: 400705
  Contact Nos:
  Email: ris.sanpada@ryangroup.org
  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 ?: By learning new musical instrument and improving my vocals for my classical sangeet.
Why do you wish to join TMI?: As i have searched many institutes on google but i have found TMI as the best option for my career
What are your hobbies?: Singing,playing guitar and cooking
What are your strengths?: I have a leadership quality and i am very confident and passionate towards my career.
What are your weaknesses?: My addiction towards my work or my passion sometimes backfires me.
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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