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: DNS2049599 Name: ADITYA DUBEY
  Address: Hno-3710 Kalapanapuri , Adityapur-1, Jamshedpur. Hno-3710 Kalapanapuri , Adityapur-1, Jamshedpur.
Telephone No.: Mobile no: 8757680580
E-mail: dubey10aditya@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304117054
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049599 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 
Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

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: DNS2049599
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ADITYA DUBEY
Mother's Name: Preeti Dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Nov 2002 Nationality: Indian
Place of Birth: Buxar Personal Identification Mark: mole on upper right lip
Blood Group: O + Address for Communication: Hno-3710 Kalapanapuri , Adityapur-1, Jamshedpur. Hno-3710 Kalapanapuri , Adityapur-1, Jamshedpur.
State: Jharkhand Country: India
Pin: 832109 City/District: Sariakela Kharsawan
Mobile no: 8757680580 Telephone No. with STD code:
Aadhar Card No:223752870670 E-mail: dubey10aditya@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ramesh Kant Dubey Relationship with candidate: Father
Parents Date of Birth: 20 Aug 1976 Parent's/Guardian's Occupation/Designation: Seaman
   
Office Address:
   
Address: M.S.C House , Andheri Kurla Road,Andheri east ,J B nagar Mumbai. M.S.C House , Andheri Kurla Road,Andheri east ,J B nagar Mumbai.
Country: India State: Maharashtra
City/District: Mumbai Pin: 400059
Tel: Mobile no.: 9031995079
Fax: Email: dubey22ramesh@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: ISCE
School: Rajendra Vidyalaya School: Rajendra Vidyalaya
City: Jamshedpur City: jamshedpur
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: Pipe line road sakchi,Jamshedpur
  Pin: 831001
  Contact Nos: 06572423206
  Email: rv_jsr@yahoo.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 ?: I will prepare for competitive exams and indulge myself in playing sports.
Why do you wish to join TMI?: I wanted to join Tolani Maritime Institute as it is one of the best marine institute in India.
What are your hobbies?: i like reading books,playing football and exploring new places.
What are your strengths?: Positive attitude,Inovative,Persistant,Punctual,Flexible person.
What are your weaknesses?: Emotionally attached,Straight forward,Trust people easily.
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 not uploaded
 
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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