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: DNS2049557 Name: SHIVAM BHATT
  Address: 72/4 TEACHERS COLONY GOVIND GARH
Telephone No.: Mobile no: 8755519679
E-mail: bhattshi9@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 304078799
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049557 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: DNS2049557
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHIVAM BHATT
Mother's Name: KUSUM LATA BHATT
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Oct 2000 Nationality: INDIAN
Place of Birth: DEHRADUN Personal Identification Mark: TWO MOLE ON CHEST
Blood Group: B - Address for Communication: 72/4 TEACHERS COLONY GOVIND GARH
State: Uttaranchal Country: India
Pin: 248001 City/District: DEHRADUN
Mobile no: 8755519679 Telephone No. with STD code:
Aadhar Card No: E-mail: bhattshi9@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DINESH PRASAD BHATT Relationship with candidate: FATHER
Parents Date of Birth: 10 Jan 1964 Parent's/Guardian's Occupation/Designation: TEACHING
   
Office Address:
   
Address: 72/4 TEACHERS COLONY GOVIND GARH
Country: India State: Uttaranchal
City/District: DEHRADUN Pin: 248001
Tel: Mobile no.: 9897336826
Fax: Email: dineshprasadbhatt38ji@gmail.com
 

Education and Academic Record :
Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: ISCE Board: Uttaranchal
School: CAMBRIAN HALL School: CAMBRIAN HALL
City: DEHRADUN City: DEHRADUN
English %: 66 Board Roll No./Seat No.: 6182697
Aggregate Percentage: 76 School/College Code: UT002
  Centre code: 2187326
  Address of School/College: 13,YOUNG ROAD,DEHRADUN CANTT
  Pin: 248003
  Contact Nos:
  Email: cambrianhall@vsnl.net
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 66 66
Chemistry 100 56 56
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 61
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I SPEND MY TIME BY WATCHING MOVIES,PLAYING CRICKET AND ALSO PREPARE FOR NDA EXAM.
Why do you wish to join TMI?: I HEARD FROM MY FRIENDS ONE OF THE BEST INSTITUTE FOR PRE SEA TRAINING AS WELL AS GOOD FACULTY MEMBERS.
What are your hobbies?: PLAYING CRICKET,TRAVELLING
What are your strengths?: POSITIVE THINKING,BELIEVE IN HARDWORK
What are your weaknesses?: BEING TOO HONEST
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 Class XII admit card Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate
 

___________________

Date ________________
 
Print Summary and Application Form