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: DNS2049852 Name: Rajbir Singh
  Address: Village Rajpur P. O. Butala Tehsil Baba Bakala Distt. Amritsar
Telephone No.: Mobile no: 7973254738
E-mail: rajbirbal43@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 304662138
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049852 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: DNS2049852
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rajbir Singh
Mother's Name: Sarbjeet Kaur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Jul 2001 Nationality: Indian
Place of Birth: Beas Personal Identification Mark: Mole on chin and chest
Blood Group: O + Address for Communication: Village Rajpur P. O. Butala Tehsil Baba Bakala Distt. Amritsar
State: Punjab Country: India
Pin: 143203 City/District: AMRITSAR
Mobile no: 7973254738 Telephone No. with STD code:
Aadhar Card No:250250818661 E-mail: rajbirbal43@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Inderjit Singh Relationship with candidate: Father
Parents Date of Birth: 17 Feb 1970 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Vpo Butala Amritsar
Country: India State: Punjab
City/District: Butala Pin: 143203
Tel: Mobile no.: 9815096790
Fax: Email: jot.kaur73@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: Punjab
School: Sacred Heart Convent School School: B.G.S.B.U.S. senior secondary school
City: Beas City: khadur sahib
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: Khadur Sahib
  Pin: 143117
  Contact Nos:
  Email: nsikhi@yahoo.in
  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
09/2019 Volleyball School level First
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Will work on my physical fitness and personality development
Why do you wish to join TMI?: I wish to make my career in merchant navy
What are your hobbies?: Playing Volleyball and watching TV
What are your strengths?: Parents and self belief
What are your weaknesses?: My handwriting
How do you intend to meet the expenses of this program?: Own Resources,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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