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: DNS2049975 Name: harshpreet singh khattra
  Address: near bank of india village khattra chuharam post office-khattra chuharam
Telephone No.: Mobile no: 7087065971
E-mail: khattra257@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 304988793
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049975 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: DNS2049975
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: harshpreet singh khattra
Mother's Name: gurpreet kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Sep 2002 Nationality: Indian
Place of Birth: khanna Personal Identification Mark: cut on left thiegh
Blood Group: B + Address for Communication: near bank of india village khattra chuharam post office-khattra chuharam
State: Punjab Country: India
Pin: 141118 City/District: ludhiana
Mobile no: 7087065971 Telephone No. with STD code:
Aadhar Card No:684804966650 E-mail: khattra257@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: rajinder singh Relationship with candidate: father
Parents Date of Birth: 02 Apr 1976 Parent's/Guardian's Occupation/Designation: job in private bus company
   
Office Address:
   
Address: near bank of india village-khattra chuharam post office-khattra chuharam
Country: India State: Punjab
City/District: ludhiana Pin: 141118
Tel: Mobile no.: 9814065971
Fax: Email: khattrapal777@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Punjab
School: sant isher singh ji memorial public school School: baba gurmukh singh baba uttam singh sen sec school
City: ludhiana City: khadur sahib
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Centre code:
  Address of School/College: khadur sahib to raiya road,khadur sahib,tarntaran.punjab
  Pin: 143117
  Contact Nos:
  Email: nsikhi@yahoo.in
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 75
   
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
12/2016 hockey district first
10/2018 basketball school level second
05/2019 lecturate school level second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: by taking training of swimming and english couses
Why do you wish to join TMI?: to become an officer in merchant navy and i also like to travel
What are your hobbies?: reading novels, listening music,searching about automobliles and amazing facts
What are your strengths?: friendly,helpful
What are your weaknesses?: low confidence
How do you intend to meet the expenses of this program?: Other - my father money from his boss
 
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