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: DNS2050198 Name: Ashish Kumar
  Address: Bill.-Jawahi Post-Radhaur
Telephone No.: Mobile no: 7295039130
E-mail: ashishkumar8969046@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 305431076
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050198 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2050198
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashish Kumar
Mother's Name: Anita devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Mar 2002 Nationality: Indian
Place of Birth: Jawahi Personal Identification Mark: Cut mark on left palm
Blood Group: AB + Address for Communication: Bill.-Jawahi Post-Radhaur
State: Bihar Country: India
Pin: 843331 City/District: Sitamrhi
Mobile no: 7295039130 Telephone No. with STD code:
Aadhar Card No: E-mail: ashishkumar8969046@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Upendra thakur Relationship with candidate: Father
Parents Date of Birth: 04 Feb 1969 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Vill.-Jawahi Post-Radhaur
Country: India State: Bihar
City/District: Sitamrhi Pin: 843331
Tel: Mobile no.: 9631191899
Fax: Email: ashishkumar8969046@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: K.v.jawahr nager School: Sri Nawab a.s. school sheohar
City: Sitamrhi City: Sheohar
English %: 70 Board Roll No./Seat No.: 19010023
Aggregate Percentage: 72 School/College Code: 36007
  Centre code: 36007
  Address of School/College: Sheohar
  Pin: 843329
  Contact Nos:
  Email: rajashish060@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 88 88
Mathematics 100 89 89
Physics, Chemistry & Mathematics combined Percentage: 85.33
English 100 66 66
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: STUDYING
Why do you wish to join TMI?: Because it is a most reputed company in Marchant navy
What are your hobbies?: Studying scientific fact
What are your strengths?: To complete my work in time
What are your weaknesses?: No
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

 

___________________

Date ________________

 
Print Summary and Application Form