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: DNS2050020 Name: K Mohit
  Address: Near Uma Bakery Surynarayan building Shadipur Port Blair
Telephone No.: Mobile no: 9474265008
E-mail: mohitpb512@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 305037582
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050020 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: DNS2050020
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: K Mohit
Mother's Name: K Kalpana
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jun 2002 Nationality: Indian
Place of Birth: Port Blair Personal Identification Mark: Mole below lips
Blood Group: A + Address for Communication: Near Uma Bakery Surynarayan building Shadipur Port Blair
State: Other Country: India
Pin: 744106 City/District: Andaman
Mobile no: 9474265008 Telephone No. with STD code:
Aadhar Card No:245106487689 E-mail: mohitpb512@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: K Kumar Relationship with candidate: Father
Parents Date of Birth: 20 May 1966 Parent's/Guardian's Occupation/Designation: Police Radio Operator
   
Office Address:
   
Address: police radio HQ Marine Hill-Post Port blair
Country: India State: Other
City/District: Andaman Pin: 744101
Tel: Mobile no.: 9476028196
Fax: Email: 9476028196kumar@gmail.com
 

Education and Academic Record :
Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Carmel Senior Secondary School School: Carmel Senior Secondary School
City: Port Blair City: Port Blair
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: phoenix bay haddo P.O
  Pin: 744102
  Contact Nos:
  Email: carmelportblair682@gmail.com
  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 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: fitness
Why do you wish to join TMI?: education quality betterment of the society and infrastructure. its my personal choice.
What are your hobbies?: Listening song
What are your strengths?: parents
What are your weaknesses?: IT VARIES because i work on my weaknesses and overcome it
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card 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