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: DNS2049756 Name: Kuljinder Singh
  Address: SAS Nagar ST NO.26 MCB Z6 00446 Bathinda
Telephone No.: Mobile no: 6284304606
E-mail: kuljinderbrar59@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 206.19 (Includes Convenience fee of ₹ 6.19 ) DD Number: -
Issuing Bank: - Transaction Id: 304387698
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049756 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: DNS2049756
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kuljinder Singh
Mother's Name: Veerpal Kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2002 Nationality: INDIAN
Place of Birth: Bathinda Personal Identification Mark: Cut mark on lower left arm
Blood Group: A + Address for Communication: SAS Nagar ST NO.26 MCB Z6 00446 Bathinda
State: Punjab Country: India
Pin: 151001 City/District: Bathinda
Mobile no: 6284304606 Telephone No. with STD code:
Aadhar Card No: E-mail: kuljinderbrar59@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Veerpal Kaur Relationship with candidate: Mother
Parents Date of Birth: 15 Mar 1981 Parent's/Guardian's Occupation/Designation: ICDS worker
   
Office Address:
   
Address: MCB Z6 07522 st.no.5 Pratap Nagar , Bathinda
Country: India State: Punjab
City/District: Bathinda Pin: 151001
Tel: Mobile no.: 9463790616
Fax: Email: bbrar372@gamil.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Punjab
School: SANAWAR An Institute For Childern School: B.G.S.B.U.S Senior Secondary School
City: Bathinda City: TARNTARAN
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: VPO Khadur Sahib Tarntaran
  Pin: 146117
  Contact Nos:
  Email: nspikhadursahib@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 75
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2016 Boxing State 5th
08/2016 Boxing District 1st
08/2017 Boxing District 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Looking for different sort of carrier options .
Why do you wish to join TMI?: As of now i want join merchant navy I found TMI is best.Its education infrastructure and fee sutes me.
What are your hobbies?: Book Reading , Cycling
What are your strengths?: Physique, Determination, Harworking
What are your weaknesses?: solving puzzles , overconfidence
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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