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: DNS2049564 Name: Arpit Tiwari
  Address: 1/481 Sarvoday nagar,shuklaganj,gangaghat, unnao-209861
Telephone No.: Mobile no: 8765048921
E-mail: arpit3000tiwari@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 304078690
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049564 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: DNS2049564
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Arpit Tiwari
Mother's Name: pinki tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Apr 2001 Nationality: Indian
Place of Birth: kanpur Personal Identification Mark: mole under left eye
Blood Group: O + Address for Communication: 1/481 Sarvoday nagar,shuklaganj,gangaghat, unnao-209861
State: Uttar Pradesh Country: India
Pin: 209861 City/District: unnao
Mobile no: 8765048921 Telephone No. with STD code:
Aadhar Card No:629475930881 E-mail: arpit3000tiwari@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Pradeep Kumar Tiwari Relationship with candidate: father
Parents Date of Birth: 03 Apr 1970 Parent's/Guardian's Occupation/Designation: private
   
Office Address:
   
Address: 1/481 Sarvoday nagar,shuklaganj,gangaghat, unnao-209861
Country: India State: Uttar Pradesh
City/District: unnao Pin: 209861
Tel: Mobile no.: 9450491178
Fax: Email: lordthunderdoom@gmail.com
 

Education and Academic Record :
Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: ISCE Board: ISCE
School: Dr Virendra Swarup Public School School: Dr Virendra Swarup Public School
City: Kanpur City: kanpur
English %: 88 Board Roll No./Seat No.: 6600631
Aggregate Percentage: 94 School/College Code: 2192718006
  Centre code: 2192718
  Address of School/College: 75- Cantonment Kanpur Kanpur Nagar-208 004
  Pin: 208004
  Contact Nos:
  Email: prin.vsps@vsmt.org
  Aggregate Percentage: 93
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 95 95
Chemistry 100 86 86
Mathematics 100 93 93
Physics, Chemistry & Mathematics combined Percentage: 91.33
English 100 92 92
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
07/2017 INTER SCHOOL CREATIVE WRITING COMPETITION KANPUR ZONE NIL
08/2016 INTER SCHOOL FOOTBALL TOURNAMENT NORTH ZONE ZONAL 3
07/2018 INTER SCHOOL FOOTBALL TOURNAMENT NORTH ZONE ZONAL 4
08/2017 INTER SCHOOL FOOTBALL TOURNAMENT NORTH ZONE ZONAL 2
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: going through my novels,preparing for competitive exams,playing fooball
Why do you wish to join TMI?: TMI offers top notch maritime education with world class standards
What are your hobbies?: reading novels,football freestyling,video editing
What are your strengths?: cooperation,adaptability,sense of responsibility,born leader
What are your weaknesses?: bit shy and introvert, slightly critical,
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
 
Declaration

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

Signature of Candidate
 

___________________

Date ________________
 
Print Summary and Application Form