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: DNS2049696 Name: Sachin Kumar
  Address: Patel Nagar sikandarpur Bhagalpur Bihar 812005 Patel Nagar sikandarpur Bhagalpur Bihar 812005
Telephone No.: Mobile no: 7050220694
E-mail: sachinmariner.official@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304242188
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049696 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: DNS2049696
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sachin Kumar
Mother's Name: Babita Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jan 2002 Nationality: Indian
Place of Birth: Bhagalpur Personal Identification Mark: Black mark on right hand palm
Blood Group: A + Address for Communication: Patel Nagar sikandarpur Bhagalpur Bihar 812005 Patel Nagar sikandarpur Bhagalpur Bihar 812005
State: Bihar Country: India
Pin: 812005 City/District: Bhagalpur
Mobile no: 7050220694 Telephone No. with STD code:
Aadhar Card No: E-mail: sachinmariner.official@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Kumar Mandal Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1972 Parent's/Guardian's Occupation/Designation: Private job
   
Office Address:
   
Address: Patel Nagar sikandarpur Bhagalpur Bihar 812005 Patel Nagar sikandarpur Bhagalpur Bihar 812005 Sanjay Kumar Mandal gram sonudih,post tarar, Bhagalpur 813205
Country: India State: Bihar
City/District: Bhagalpur Pin: 812005
Tel: Mobile no.: 8789778304
Fax: Email: sachinkumarsingh.nk79@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Bihar
School: Paramount academy School: MN college amba Bhagalpur
City: Munger City: Bhagalpur
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: MN college amba shakund .
  Pin: 812005
  Contact Nos:
  Email: sachinkumarsingh.nk79@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:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2017 Diploma in computer application 6months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Join good environment of English speaking person to improve our communication skills for better future .
Why do you wish to join TMI?: It is one of the best institute of marine engineering and nautical science . It has a good reputation .many foreign companies conduct regular campus interview for placement. and many more
What are your hobbies?: Cycling and running
What are your strengths?: Positive attitude and self motivated
What are your weaknesses?: I have trouble saying no to anyone.
How do you intend to meet the expenses of this program?: Own Resources,Other - Family support
 
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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