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: DNS2050055 Name: Vinod Kumar Pandey
  Address: Qno 243 TYPE 2 CRPF GC2 FOY SAGAR ROAD
Telephone No.: Mobile no: 6376067835
E-mail: vinod08042000@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305022086
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050055 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: DNS2050055
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vinod Kumar Pandey
Mother's Name: Subhwanta Pandey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Apr 2000 Nationality: India
Place of Birth: Maniyarepur Personal Identification Mark: mole on right eye
Blood Group: O + Address for Communication: Qno 243 TYPE 2 CRPF GC2 FOY SAGAR ROAD
State: Rajasthan Country: India
Pin: 305005 City/District: Ajmer
Mobile no: 6376067835 Telephone No. with STD code:
Aadhar Card No:982899538201 E-mail: vinod08042000@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Amarnath Pandey Relationship with candidate: Father
Parents Date of Birth: 07 Jul 1962 Parent's/Guardian's Occupation/Designation: defence service
   
Office Address:
   
Address: Qno 243 TYPE 2 CRPF GC2 FOY SAGAR ROAD
Country: India State: Rajasthan
City/District: Ajmer Pin: 305005
Tel: Mobile no.: 9479700217
Fax: Email: amarnathpandey780@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: kendriya vidyalaya no1 School: kendriya vidyalaya no1
City: ajmer City: ajmer
English %: 85 Board Roll No./Seat No.: 1617911
Aggregate Percentage: 83 School/College Code: 03506
  Centre code: 1203
  Address of School/College: kendriya vidyalaya no1 GC1 Ajmer
  Pin: 305007
  Contact Nos:
  Email: kv1ajmer@rediffmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 71 71
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 69.33
English 100 67 67
   
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
05/2016 NCC CERTIFICATE A FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to use every bit time of I will get in involving in different kind of sports activities . And to prepare for TMI SAT AND IMU CET exams
Why do you wish to join TMI?: This institute is one of its kind it provides a wide variety of course in the field of marine and it has good placement record and world class infrastructure
What are your hobbies?: photography
What are your strengths?: clam,influencer,leader
What are your weaknesses?: very busy,impatient,bored quickly
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 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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