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: DNS2182357 Name: Nitin Pant
  Address: 2740 F-Block Ansal Sushant city
Telephone No.: Mobile no: 8053171016
E-mail: Pantnitin246@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 433296549
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2182357 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: DNS2182357
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Nitin Pant
Mother's Name: Reeta Pant
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Aug 2002 Nationality: Indian
Place of Birth: Panipat Personal Identification Mark: Birthmark on my stomach
Blood Group: AB + Address for Communication: 2740 F-Block Ansal Sushant city
State: Haryana Country: India
Pin: 132103 City/District: Panipat
Mobile no: 8053171016 Telephone No. with STD code:
Aadhar Card No:962745755075 E-mail: Pantnitin246@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Lalit Pant Relationship with candidate: Father
Parents Date of Birth: 23 Dec 1966 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: 2740 F BLOCK Ansal Sushant City
Country: India State: Haryana
City/District: Panipat Pin: 132103
Tel: Mobile no.: 9812400324
Fax: Email: pant.lalit77@gmai.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SMCS School: GDPS
City: Panipat City: Panipat
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Centre code:
  Address of School/College: Across two rivers,behind gokul garden,Assand road
  Pin: 132103
  Contact Nos: 9992223500
  Email: rkw@gdgoenkapanipat.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 ?: Preparing for the entrance exam for the colleges
Why do you wish to join TMI?: Beacuse it is the best.
What are your hobbies?: Singing and travelling
What are your strengths?: Adjustable
What are your weaknesses?: Height.
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

 

___________________

Date ________________

 
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