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: DNS2050231 Name: Ashish kumar
  Address: Kishori Lal chowk Ward no 11 madhubani Kishori lala chowk Pin 847211
Telephone No.: 7992304878 Mobile no: 7992304878
E-mail: ashishkumarsah402@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305631300
   
   
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 ________________
 
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: DNS2050231
 
Applicant's Personal Information:
 
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
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Prasad Relationship with candidate: Father
Parents Date of Birth: 11 Feb 1964 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
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
 

Education and Academic Record :


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
  Centre code: 52001
  Address of School/College: Rk college sapta madhubani
  Pin: 847211
  Contact Nos:
  Email: rkclnmu@gmail.com
  Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
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
   
IMU CET Application Number:  
 
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
 
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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