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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)
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Application Summary: Diploma in Nautical Science |
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Dossier ID: DNS2049705 |
Name: RITVIK PANWAR |
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Address: HOUSE NUMBER 147 BLOCK 2 SHAH NIWAS RAJPUR ROAD DEHRADUN |
Telephone No.: 01352748141 |
Mobile no: 9027003153 |
E-mail: panwarji192@gmail.com |
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Application fee payment details: |
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Payment Status: Paid |
Payment Mode: Online |
Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
Issuing Bank: - |
Transaction Id: 304280243 |
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Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049705 are true and correct. |
Signature of Candidate |
Signature of Parent/Guardian |
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Date ________________ |
Date ________________ |
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Please quote your dossier id and full name for any future correspondence |
Please ensure that you send the following documents with your application. |
- Write Application for Diploma in Nautical Science, Dossier ID on the envelope
- Print the application form duly filled
- Print the application summary duly signed where indicated
- Three identical recent passport size photographs with name & dossier id written at the back
- Self – attested copies of Class X marksheet and Pass Certificate
- 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)
- 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)
- Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
- Self – attested copy of birth certificate (for proof of age and place of birth)
- Copies of sports and extra-curricular activities (Class VIII and above only)
- Copy of Class XII board exam admit card for those appearing in 2020
- 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)
- Please keep a copy of the form for your reference for communicating with the Institute
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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. |
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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
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Applicant's Personal Information: |
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Full Name as on Class XII Marksheet/Pass Certificate: RITVIK PANWAR |
Mother's Name: Suman Panwar |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 06 Mar 2003 |
Nationality: Indian |
Place of Birth: dehradun |
Personal Identification Mark: scar on right eye brow |
Blood Group: B + |
Address for Communication: HOUSE NUMBER 147 BLOCK 2 SHAH NIWAS RAJPUR ROAD DEHRADUN |
State: Uttaranchal |
Country: India |
Pin: 248001 |
City/District: dehradun |
Mobile no: 9027003153 |
Telephone No. with STD code: 01352748141 |
Aadhar Card No:973096409556 |
E-mail: panwarji192@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: UPENDRA SINGH PANWAR |
Relationship with candidate: father |
Parents Date of Birth: 20 Jul 1973 |
Parent's/Guardian's Occupation/Designation: BUSINESS PERSON |
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Office Address: |
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Address: Paltan Bazar Uttrakhand Jewellers |
Country: India |
State: Uttaranchal |
City/District: dehradun |
Pin: 248001 |
Tel: 031252748141 |
Mobile no.: 8979609099 |
Fax: |
Email: panwarji192@gmail.com |
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Education and Academic Record :
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Class X: - |
Class XII: - |
Year of Passing: 2018 |
Year of Passing: 2020 |
Board: ISCE |
Board: ISCE |
School: NEW DOON BLOSSOMS SCHOOL |
School: PINE HALL SCHOOL |
City: dehradun |
City: dehradun |
English %: 66 |
Board Roll No./Seat No.: |
Aggregate Percentage: 72 |
School/College Code: |
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Centre code: |
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Address of School/College: Rajpur road |
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Pin: 248001 |
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Contact Nos: 7830045403 |
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Email: panwarji192@gmail.com |
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Aggregate Percentage: |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
100 |
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Chemistry |
100 |
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Mathematics |
100 |
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Physics, Chemistry & Mathematics combined Percentage: |
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English |
100 |
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IMU CET Application Number: |
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Sports & Extra Curricular Activities: |
Achievements in Sports and Extra Curricular Activities |
MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
02/2013 |
football |
mid fielder |
second runner up |
10/2019 |
Walk with pioneer |
represented school |
1st |
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How do you intend spending your time after completing class XII Final exams and before joining college ?: 1.RIDING
2.reading books |
Why do you wish to join TMI?: BEST MARITIME INSTITUTE AS TOLD BY MY RELATIVE
SERVING IN MERCHANT NAVY AS CHIEF OFFICER |
What are your hobbies?: RIDING |
What are your strengths?: focused person |
What are your weaknesses?: IT IS HARD TO SAY NO FOR ME |
How do you intend to meet the expenses of this program?: Own Resources |
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Review you documents: |
Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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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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