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 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049494 Name: GUPTA MANISH UMESH GEETA
  Address: c/3 karmaboomi apt jain mandir road virar west d/5 karmaboomi apt jain mandir road virar west
Telephone No.: Mobile no: 9588460262
E-mail: gmanish4126@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 303983430
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049494 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please ensure that you send the following documents with your application.
  1. Write Application for Diploma in Nautical Science, Dossier ID on the envelope
  2. Print the application form duly filled
  3. Print the application summary duly signed where indicated
  4. Three identical recent passport size photographs with name & dossier id written at the back
  5. Self – attested copies of Class X marksheet and Pass Certificate
  6. Self – attested copies of Class XII marksheet and Pass Certificate (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  7. Self – attested copies of class XII marksheet downloaded from internet (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  8. Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
  9. Self – attested copy of birth certificate (for proof of age and place of birth)
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. Copy of Class XII board exam admit card for those appearing in 2020
  12. A non-refundable Demand Draft of Rs. 200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  13. Please keep a copy of the form for your reference for communicating with the Institute

Send Duly filled application forms to:

Admissions Cell (DNS)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507
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 - 2020

 
  Dossier ID: DNS2049494
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GUPTA MANISH UMESH GEETA
Mother's Name: Geeta gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Apr 2000 Nationality: INDIAN
Place of Birth: UP Personal Identification Mark: A mole on lips
Blood Group: O + Address for Communication: c/3 karmaboomi apt jain mandir road virar west d/5 karmaboomi apt jain mandir road virar west
State: Maharashtra Country: India
Pin: 401303 City/District: palghar
Mobile no: 9588460262 Telephone No. with STD code:
Aadhar Card No:854036106448 E-mail: gmanish4126@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Umesh gupta Relationship with candidate: father
Parents Date of Birth: 03 Jan 1976 Parent's/Guardian's Occupation/Designation: LIC
   
Office Address:
   
Address: d/5 karmaboomi apt jain mandir road virar west c/3 karmaboomi apt jain mandir road virar west
Country: India State: Maharashtra
City/District: palghar Pin: 401303
Tel: Mobile no.: 7263061219
Fax: Email: gogleuser200@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: st.james english high scool School: p.r.p. utkarsha
City: virar City: virar
English %: 68 Board Roll No./Seat No.: M036099
Aggregate Percentage: 62 School/College Code: 1808007
  Centre code: 2321
  Address of School/College: viva college near old viva road
  Pin: 401305
  Contact Nos:
  Email: gmanish4126@gmail.com
  Aggregate Percentage: 60
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 47 47
Chemistry 100 51 51
Mathematics 100 44 44
Physics, Chemistry & Mathematics combined Percentage: 47.33
English 100 68 68
   
IMU CET Application Number: CET19U99612  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: GETTING MORE KNOWLEDGE ABOUT INSTITUTE
Why do you wish to join TMI?: THERE IS ONE OF MY FRIEND STUDYING
What are your hobbies?: READING NOVELS
What are your strengths?: TO COMPLETE THE TASK GIVEN
What are your weaknesses?: EMOTIONAL ON SMALL THINGS
How do you intend to meet the expenses of this program?: Bank Loan
 
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 ________________

 
Print Summary and Application Form