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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)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2050231 |
Name: Ashish kumar |
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Address: Kishori Lal chowk Ward no 11 madhubani Kishori lala chowk Pin 847211 |
| Telephone No.: 7992304878 |
Mobile no: 7992304878 |
| E-mail: ashishkumarsah402@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 305631300 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050231 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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| Date ________________ |
Date ________________ |
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| 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. |
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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
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| Applicant's Personal Information: |
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| Full Name as on Class XII Marksheet/Pass Certificate: Ashish kumar |
| Mother's Name: Deep mala devi |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 26 Sep 2001 |
Nationality: Indian |
| Place of Birth: India |
Personal Identification Mark: Cut On left hand |
| Blood Group: AB + |
Address for Communication: Kishori Lal chowk Ward no 11 madhubani Kishori lala chowk Pin 847211 |
| State: Bihar |
Country: India |
| Pin: 847211 |
City/District: Madhubani |
| Mobile no: 7992304878 |
Telephone No. with STD code: 7992304878 |
| Aadhar Card No: |
E-mail: ashishkumarsah402@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Rajesh Prasad |
Relationship with candidate: Father |
| Parents Date of Birth: 11 Feb 1964 |
Parent's/Guardian's Occupation/Designation: Business |
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| Office Address: |
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| Address: Kishori Lal chowk Ward no 11 madhubani Madhubani Madhubani |
| Country: India |
State: Bihar |
| City/District: Madhubani |
Pin: 847211 |
| Tel: |
Mobile no.: 8271081976 |
| Fax: |
Email: abhimanyugupta774@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2016 |
Year of Passing: 2019 |
| Board: CBSE |
Board: Bihar |
| School: Indian public school |
School: Rk college |
| City: Madhubani |
City: Madhubani |
| English %: 85 |
Board Roll No./Seat No.: 19040008 |
| Aggregate Percentage: 82 |
School/College Code: 52001 |
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Centre code: 52001 |
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Address of School/College: Rk college sapta madhubani |
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Pin: 847211 |
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Contact Nos: |
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Email: rkclnmu@gmail.com |
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Aggregate Percentage: 61 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
62 |
62 |
| Chemistry |
100 |
62 |
62 |
| Mathematics |
100 |
68 |
68 |
| Physics, Chemistry & Mathematics combined Percentage: |
64 |
| English |
100 |
54 |
54 |
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| IMU CET Application Number: |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: After 12th exam , we are moving a some new place that after we prepare for IMU CET exam and sponsorship test exam |
| Why do you wish to join TMI?: Tmi is the one of the best institute , good placement , good teaching, everything is good so I decided to join TMI |
| What are your hobbies?: Traveling |
| What are your strengths?: Respect everyone |
| What are your weaknesses?: No weakness |
| How do you intend to meet the expenses of this program?: Bank Loan |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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| 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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