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: DNS2049961 Name: Vipul Kumar Dubey
  Address: Suryanagar Powai Road Vikhroli-W Mumbai-83 Suryanagar Powai Road Vikhroli-W Mumbai-83
Telephone No.: Mobile no: 9324541074
E-mail: dubeyvipulkumar16@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304854791
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049961 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: DNS2049961
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vipul Kumar Dubey
Mother's Name: Sarita Dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Mar 2001 Nationality: Indian
Place of Birth: Jaunpur Personal Identification Mark: NA
Blood Group: B + Address for Communication: Suryanagar Powai Road Vikhroli-W Mumbai-83 Suryanagar Powai Road Vikhroli-W Mumbai-83
State: Maharashtra Country: India
Pin: 400083 City/District: Mumbai
Mobile no: 9324541074 Telephone No. with STD code:
Aadhar Card No:357604421973 E-mail: dubeyvipulkumar16@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sabhapati Dubey Relationship with candidate: Father
Parents Date of Birth: 15 Jul 1971 Parent's/Guardian's Occupation/Designation: Priest
   
Office Address:
   
Address: - -
Country: India State: Maharashtra
City/District: Mumbai Pin: 400083
Tel: Mobile no.: 9819679671
Fax: Email: dubeyneha411@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Uttar Pradesh Board: CBSE
School: S D M H S S Sirkina Singhramau Jaunpur School: K V Bhandup Mumbai-83
City: Jaunpur City: Mumbai
English %: 87 Board Roll No./Seat No.: 4650135
Aggregate Percentage: 86 School/College Code: 400078
  Centre code: 4608
  Address of School/College: Bhandup Mumbai-83
  Pin: 400083
  Contact Nos:
  Email: kvbhandup78@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 65 65
Mathematics 100 55 55
Physics, Chemistry & Mathematics combined Percentage: 66
English 100 63 63
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation of IMUCET
Why do you wish to join TMI?: At present it is the best Maritime college for academic training and placement percentage.
What are your hobbies?: Always on time,listening music,nature loving
What are your strengths?: My parents
What are your weaknesses?: Due to some little time disturbance,sometimes i lost my full day time
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
 
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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