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: DNS2049843 Name: SANDEEP KUMAR SINGH
  Address: AT DHANICHHA PO DURGAWATI PS DURGAWATI
Telephone No.: Mobile no: 7050327205
E-mail: sandeepebm123@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 304645343
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049843 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: DNS2049843
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SANDEEP KUMAR SINGH
Mother's Name: BABY DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Feb 2003 Nationality: INDIAN
Place of Birth: KAIMUR Personal Identification Mark: A CUT MARK ON LFET EYEBROW
Blood Group: O - Address for Communication: AT DHANICHHA PO DURGAWATI PS DURGAWATI
State: Bihar Country: India
Pin: 821105 City/District: KAIMUR
Mobile no: 7050327205 Telephone No. with STD code:
Aadhar Card No:453568815101 E-mail: sandeepebm123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRADEEP SINGH Relationship with candidate: FATHER
Parents Date of Birth: 15 May 1972 Parent's/Guardian's Occupation/Designation: ENGINEER
   
Office Address:
   
Address: CHENNAI CHENNAI
Country: India State: Tamil Nadu
City/District: CHENNAI Pin: 600018
Tel: Mobile no.: 9701268302
Fax: Email: pksingh7272@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: DAV PUBLIC SCHOOL School: SHARDA BRAJRAJ HIGH SCHOOL
City: RATWAR City: MOHANIA
English %: 57 Board Roll No./Seat No.: 19010104
Aggregate Percentage: 58 School/College Code: 16050
  Centre code: 16050
  Address of School/College: MOHANIA KAIMUR
  Pin: 821109
  Contact Nos:
  Email: tausif0210@gmail.com
  Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 61 61
Chemistry 100 66 66
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 61.33
English 100 60 60
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARED FOR IMU CET
Why do you wish to join TMI?: BECAUSE IT IS ONE OF THE BEST MARITIME UNIVERSITY
What are your hobbies?: PLAYING CRICKETING
What are your strengths?: SPEAK TRUTH
What are your weaknesses?: DONT LIKE LIE
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 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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