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: DNS2181550 Name: Harshdeep singh
  Address: ramnagar bhunna plot no.1 bhunna plot no.1
Telephone No.: Mobile no: 7027641255
E-mail: deepharsh2314@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 DNS2181550 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: DNS2181550
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harshdeep singh
Mother's Name: Kiran kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jul 2001 Nationality: Indian
Place of Birth: Bhunna Personal Identification Mark: No
Blood Group: B + Address for Communication: ramnagar bhunna plot no.1 bhunna plot no.1
State: Haryana Country: India
Pin: 136034 City/District: kaithal
Mobile no: 7027641255 Telephone No. with STD code:
Aadhar Card No:437853206526 E-mail: deepharsh2314@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: kashmir singh Relationship with candidate: father
Parents Date of Birth: 12 Jan 1982 Parent's/Guardian's Occupation/Designation: 10
   
Office Address:
   
Address: ramnagar bhunna plot no.1 bhunna plot no.1
Country: India State: Haryana
City/District: kaithal Pin: 136034
Tel: Mobile no.: 9306567027
Fax: Email: deepharsh2314@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Mothers pride public school School: Mothers pride public school
City: cheeka City: kaithal
English %: 78 Board Roll No./Seat No.: 2654063
Aggregate Percentage: 72 School/College Code: 20126
  Centre code: 2097
  Address of School/College: ramnagar bhunna plot no.1 bhunna plot no.1
  Pin: 136034
  Contact Nos: 7027641255
  Email: deepharsh2314@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 81 81
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 67.67
English 100 74 74
   
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
05/2021 cricket city matches 2
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will work on myself like i will work on my weakness
Why do you wish to join TMI?: Because its my dream to joim TMI
What are your hobbies?: playing cricket and reading historical books
What are your strengths?: my hardwok
What are your weaknesses?: believe in eyeryones word
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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