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: DNS2181366 Name: Anish Katoch
  Address: VPO Tikkri Duhki Teh. Baijnath Distt. Kangra
Telephone No.: Mobile no: 9805245039
E-mail: ayushkatoch1999@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2181366 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: DNS2181366
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Anish Katoch
Mother's Name: Suman Lata Katoch
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Aug 2003 Nationality: Indian
Place of Birth: Palampur Personal Identification Mark: Scar on forehead
Blood Group: A - Address for Communication: VPO Tikkri Duhki Teh. Baijnath Distt. Kangra
State: Himachal Pradesh Country: India
Pin: 176063 City/District: Kangra
Mobile no: 9805245039 Telephone No. with STD code:
Aadhar Card No:780251710649 E-mail: ayushkatoch1999@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Naresh Kumar Relationship with candidate: Father
Parents Date of Birth: 16 May 1964 Parent's/Guardian's Occupation/Designation: CISF
   
Office Address:
   
Address: VPO Tikkri Duhki Teh. Baijnath Distt. Kangra
Country: India State: Himachal Pradesh
City/District: Kangra Pin: 176063
Tel: Mobile no.: 8580980630
Fax: Email: sumanlata1972@gmial.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Himachal Pradesh Board: Himachal Pradesh
School: Binwa Public School School: Gurukul Public School
City: Kangra City: Kangra
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Centre code:
  Address of School/College: Baijnath
  Pin: 176125
  Contact Nos:
  Email: ayushkatoch1999@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 ?: Studying
Why do you wish to join TMI?: I want to travel alot.
What are your hobbies?: watching movies
What are your strengths?: Hardworker, good listener, team player
What are your weaknesses?: Public Speaking
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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