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: DNS2183255 Name: ASHWARYA TIWARI
  Address: VILL- RAMNAGAR DHAURAHRA POST- RAMNAGAR DHAURAHRA
Telephone No.: Mobile no: 9455682673
E-mail: tiwarirajan975@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 434547986
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2183255 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: DNS2183255
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ASHWARYA TIWARI
Mother's Name: SANTOSH TIWARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Jun 2001 Nationality: INDIA
Place of Birth: AYODHYA Personal Identification Mark: CUT MARK ON FOREHEAD
Blood Group: O + Address for Communication: VILL- RAMNAGAR DHAURAHRA POST- RAMNAGAR DHAURAHRA
State: Uttar Pradesh Country: India
Pin: 224126 City/District: AYODHYA
Mobile no: 9455682673 Telephone No. with STD code:
Aadhar Card No:225010175702 E-mail: tiwarirajan975@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ANIL PRAKASH TIWARI Relationship with candidate: FATHER
Parents Date of Birth: 14 May 1965 Parent's/Guardian's Occupation/Designation: ADVOCATE
   
Office Address:
   
Address: VILL- RAMNAGAR DHAURAHRA POST- RAMNAGAR DHAURAHRA
Country: India State: Uttar Pradesh
City/District: AYODHYA Pin: 224126
Tel: Mobile no.: 9455682673
Fax: Email: tiwarirajan975@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: Uttar Pradesh Board: Uttar Pradesh
School: C C SINGH I C MAHOLI SOHAWAL FAIZABAD School: CH CHARAN SINGH I C MAHOLI SOHAWAL AYODHYA
City: AYODHYA City: AYODHYA
English %: 73 Board Roll No./Seat No.: 1510327
Aggregate Percentage: 76 School/College Code: 1202
  Centre code: 07751
  Address of School/College: MAHOLI SOHAWAL AYODHYA
  Pin: 224126
  Contact Nos: 9455682673
  Email: tiwarirajan975@gmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 78 78
Mathematics 100 47 47
Physics, Chemistry & Mathematics combined Percentage: 66.67
English 100 68 68
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am preparing for government exam
Why do you wish to join TMI?: Best Institute for marine
What are your hobbies?: Watching movie
What are your strengths?: Patience
What are your weaknesses?: Chatting
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 Class XII admit card not uploaded 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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