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: DNS2180516 Name: Apurv Shrivastva
  Address: Rinkal Medical Hall , Vindwashni market , Bela gola , Harinagar West Chamarana, Bettiah , Bihar ,845103
Telephone No.: Mobile no: 7250839550
E-mail: apurvshri635@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 434677050
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2180516 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: DNS2180516
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Apurv Shrivastva
Mother's Name: Mala Shrivastava
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Jun 2004 Nationality: Indian
Place of Birth: Ramnagar Personal Identification Mark: Mark on the forehead
Blood Group: A + Address for Communication: Rinkal Medical Hall , Vindwashni market , Bela gola , Harinagar West Chamarana, Bettiah , Bihar ,845103
State: Bihar Country: India
Pin: 845103 City/District: West Champaran
Mobile no: 7250839550 Telephone No. with STD code:
Aadhar Card No:857235866882 E-mail: apurvshri635@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Kumar Relationship with candidate: Father
Parents Date of Birth: 11 Jan 1975 Parent's/Guardian's Occupation/Designation: Business man
   
Office Address:
   
Address: Rinkal Medical Hall , Vindwashni market , Bela gola , Harinagar West Chamarana, Bettiah , Bihar ,845103
Country: India State: Bihar
City/District: West Champaran Pin: 845103
Tel: 07250839550 Mobile no.: 9523307043
Fax: Email: sanjayk94716@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: SR SEC DELHI PUBLIC SCHOOL FATEHPUR SHEOHAR BR School: GOVT.HIGH SCHOOL HARINAGAR WEST CHAMPARAN
City: Sheohar City: HARINAGAR
English %: 79 Board Roll No./Seat No.: 21010016
Aggregate Percentage: 90 School/College Code: 35046
  Centre code: 35046
  Address of School/College: Harinagar , West Chamarana, Bettiah , Bihar ,845103
  Pin: 845103
  Contact Nos: 7250839550
  Email: apurvshri635@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 84 84
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 75.67
English 100 72 72
   
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
04/2017 Speech School 1
01/2017 Quiz School 1
05/2017 Exam School 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Revising book for next exams , Watching Anime , Movies , Shooting Practice , Making website , making videos on instagram , Photography
Why do you wish to join TMI?: TMI is one of the best institute for DNS program also companies which visit TMI for sponsorship are the best and TMI have a good campus for study as well as training.
What are your hobbies?: Photography ,Computer related things , Video Editing , Photo editing
What are your strengths?: I keep my self always positive and confident also i make decisions quickly .
What are your weaknesses?: being polite , being too honest
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card Class XII marksheet
 
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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