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: DNS2049684 Name: SATENDRA SINGH
  Address: BARSAINI , POST HEMDHAPUR , DISTRICT GORAKHPUR BARSAINI , POST HEMDHAPUR , DISTRICT GORAKHPUR
Telephone No.: Mobile no: 8924877365
E-mail: satendrasingh352002@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304224626
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049684 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: DNS2049684
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SATENDRA SINGH
Mother's Name: SARITA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 May 2002 Nationality: INDIAN
Place of Birth: GORAKHPUR Personal Identification Mark: MOLE ON LEFT HEAD
Blood Group: B + Address for Communication: BARSAINI , POST HEMDHAPUR , DISTRICT GORAKHPUR BARSAINI , POST HEMDHAPUR , DISTRICT GORAKHPUR
State: Uttar Pradesh Country: India
Pin: 273152 City/District: GORAKHPUR
Mobile no: 8924877365 Telephone No. with STD code:
Aadhar Card No:587918916563 E-mail: satendrasingh352002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BADEBABU SINGH Relationship with candidate: FATHER
Parents Date of Birth: 02 Dec 1976 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: BARSAINI , POST HEMDHAPUR , DISTRICT GORAKHPUR BARSAINI , POST HEMDHAPUR , DISTRICT GORAKHPUR
Country: India State: Uttar Pradesh
City/District: GORAKHPUR Pin: 273152
Tel: Mobile no.: 7309951877
Fax: Email: satendrasingh352002@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: RPM ACADEMY School: LOYOLA INTERNATIONAL SCHOOL
City: GORAKHPUR City: LUCKNOW
English %: 74 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Centre code:
  Address of School/College: GOMTINAGAR , LUCKNOW
  Pin: 226010
  Contact Nos: 8924877365
  Email: satendrasingh352002@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 ?: I WILL WORK ON MY PHYSICAL , LEARN SWIMMING , AND WILL PREPARE FOR INTERVIEW
Why do you wish to join TMI?: this is one of the best institute all over the world . i will get better experience from here , since the faculty and study material which are provided here is uncomparable from other institute .
What are your hobbies?: playing mirror , rubics cube and kabaddi , listening music.
What are your strengths?: i am socially adaptable person , i totally believe in planning and execution .
What are your weaknesses?: i am way to detailed oriented , i just want that every thing to be perfect .
How do you intend to meet the expenses of this program?: 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

 

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Date ________________

 
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