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: DNS2049538 Name: Himanshu Shekhawat
  Address: 17-A, NEAR ADARSH SCHOOL, SHRI RAM NAGAR, JHOTWARA 17-A, NEAR ADARSH SCHOOL, SHRI RAM NAGAR, JHOTWARA
Telephone No.: Mobile no: 9079555731
E-mail: himjaipur1@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304046767
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049538 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: DNS2049538
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Himanshu Shekhawat
Mother's Name: Reena Kanwar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 May 2002 Nationality: Indian
Place of Birth: Jaipur Personal Identification Mark: Mole on forehead
Blood Group: A + Address for Communication: 17-A, NEAR ADARSH SCHOOL, SHRI RAM NAGAR, JHOTWARA 17-A, NEAR ADARSH SCHOOL, SHRI RAM NAGAR, JHOTWARA
State: Rajasthan Country: India
Pin: 302012 City/District: Jaipur
Mobile no: 9079555731 Telephone No. with STD code:
Aadhar Card No:975716759338 E-mail: himjaipur1@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Himmat Singh Shekhawat Relationship with candidate: Father
Parents Date of Birth: 22 May 1973 Parent's/Guardian's Occupation/Designation: Marketing executive
   
Office Address:
   
Address: 34, Vijay path, Tilak nagar, Rajapark, Jaipur 34, Vijay path, Tilak nagar, Rajapark, Jaipur
Country: India State: Rajasthan
City/District: Jaipur Pin: 302006
Tel: Mobile no.: 9214031397
Fax: Email: singhhimmat1318@gmail.com
 

Education and Academic Record :
Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Emmanuel Mission Sr. Sec. School School: Emmanuel Mission Sr. Sec. School
City: Jaipur City: Jaipur
English %: 76 Board Roll No./Seat No.: 1650177
Aggregate Percentage: 78 School/College Code: 16247
  Centre code: 1382
  Address of School/College: Kalwar Road, Jhotwara, Jaipur
  Pin: 302012
  Contact Nos:
  Email: emmanueljaipur@gmail.com
  Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 51 51
Chemistry 100 53 53
Mathematics 100 46 46
Physics, Chemistry & Mathematics combined Percentage: 50
English 100 71 71
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By doing preparation foe IMUCET.
Why do you wish to join TMI?: many of my friends and cousins are graduated from TMI, and they all are now sailing with top most shipping companies. So that is why i make up my mind to join TMI only.
What are your hobbies?: Cooking
What are your strengths?: Discipline, patience, respectfulness.
What are your weaknesses?: Sometimes being too honest is my weakness.
How do you intend to meet the expenses of this program?: Own Resources,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