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: DNS2049949 Name: lakshdeep
  Address: h.no.1334/st.no.13,gurbax colony, patiala Gurbax colony
Telephone No.: Mobile no: 9509805200
E-mail: lakshsharma566@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304836338
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049949 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: DNS2049949
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: lakshdeep
Mother's Name: paramjeet
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 May 2000 Nationality: Indian
Place of Birth: patiala Personal Identification Mark: scar near right elbow
Blood Group: O + Address for Communication: h.no.1334/st.no.13,gurbax colony, patiala Gurbax colony
State: Punjab Country: India
Pin: 147001 City/District: patiala
Mobile no: 9509805200 Telephone No. with STD code:
Aadhar Card No:478906579691 E-mail: lakshsharma566@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Balwinder sharma Relationship with candidate: father
Parents Date of Birth: 18 Oct 1966 Parent's/Guardian's Occupation/Designation: civil engineer
   
Office Address:
   
Address: h.no.1334/st.no.13,gurbax colony, patiala Gurbax colony
Country: India State: Punjab
City/District: patiala Pin: 147001
Tel: Mobile no.: 9815003620
Fax: Email: balvindersharma686@yahoo.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Punjab Board: Punjab
School: play ways senior secondary school School: play ways senior secondary school
City: Patiala City: Patiala
English %: 95 Board Roll No./Seat No.: 2018100876
Aggregate Percentage: 91 School/College Code: 0081065
  Centre code: 63040
  Address of School/College: Soda water street, Lahori gate, Patiala
  Pin: 147001
  Contact Nos:
  Email: rajdeep_pwhs@yahoo.co.in
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 70 70
Chemistry 100 84 84
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 77.67
English 75 70 93.33
   
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
06/2015 NCC state cadet
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
09/2018 STCW 13 days
09/2018 STSDSD 2 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I worked on fuel barge Pushpa as an ordinary seaman for 9 months.
Why do you wish to join TMI?: I want to join TMI as this is the best institute in India. TMI has the best faculty and with the help of them, I will be able to achieve my goals in the best way.
What are your hobbies?: swimming and cooking
What are your strengths?: punctual, hard working, work better under pressure
What are your weaknesses?: take shortcuts
How do you intend to meet the expenses of this program?: Other - salary from job
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate 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