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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)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2049696 |
Name: Sachin Kumar |
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Address: Patel Nagar sikandarpur Bhagalpur Bihar 812005 Patel Nagar sikandarpur Bhagalpur Bihar 812005 |
| Telephone No.: |
Mobile no: 7050220694 |
| E-mail: sachinmariner.official@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 304242188 |
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| 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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___________________ |
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| Date ________________ |
Date ________________ |
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| 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. |
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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
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| Applicant's Personal Information: |
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| 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 |
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| Guardian's Particulars: |
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| 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 |
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| Office Address: |
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| 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 |
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Education and Academic Record :
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| 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: |
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Centre code: |
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Address of School/College: MN college amba shakund . |
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Pin: 812005 |
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Contact Nos: |
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Email: sachinkumarsingh.nk79@gmail.com |
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Aggregate Percentage: |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
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| Chemistry |
100 |
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| Mathematics |
100 |
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| Physics, Chemistry & Mathematics combined Percentage: |
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| English |
100 |
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| IMU CET Application Number: |
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| Vocational and Training Courses undertaken: |
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| MONTH / YEAR (MM/YYYY) |
COURSE |
COURSE DURATION |
| 06/2017 |
Diploma in computer application |
6months |
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| 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 |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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| 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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