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: DNS2050442 Name: Priyam Jaiswal
  Address: 17/2 OMKARMAL JETIA ROAD Ushashee Apartment Bataitalla
Telephone No.: Mobile no: 9330425965
E-mail: priyamjaiswal775@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309023884
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050442 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: DNS2050442
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Priyam Jaiswal
Mother's Name: Anita Jaiswal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 May 2001 Nationality: Indian
Place of Birth: Allahabad Personal Identification Mark: Mole on left elbow
Blood Group: B + Address for Communication: 17/2 OMKARMAL JETIA ROAD Ushashee Apartment Bataitalla
State: West Bengal Country: India
Pin: 711103 City/District: Howrah
Mobile no: 9330425965 Telephone No. with STD code:
Aadhar Card No: E-mail: priyamjaiswal775@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ajay Jaiswal Relationship with candidate: Father
Parents Date of Birth: 11 Nov 1971 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Amta Howrah Road Chandrapur P.O.- S Gujarpur, Amta
Country: India State: West Bengal
City/District: Howrah Pin: 711401
Tel: Mobile no.: 8617724571
Fax: Email: jaiswalajay1971@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: ISCE Board: ISCE
School: St Thomas Day School School: St Thomas Day School
City: Kolkata City: Kolkata
English %: 65 Board Roll No./Seat No.: 6603680
Aggregate Percentage: 74 School/College Code: 2201445
  Centre code: 2201445
  Address of School/College: 9, Mirza Ghalib Street
  Pin: 700087
  Contact Nos:
  Email: st.thomas00@yahoo.com
  Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 60 60
Chemistry 100 55 55
Mathematics 100 45 45
Physics, Chemistry & Mathematics combined Percentage: 53.33
English 100 65 65
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Before joining College i intend to spend some time with my family and friends as i will not be able to spend time with them as i move to hostel in the campus for the next 6 months and also i will try reading some books so that it can improve my communication skills and also my vocabulary.
Why do you wish to join TMI?: I wish to join TMI because TMI invites some of the greatest companies for sponsorship, TMI has a beautiful campus,TMI has excellent Sports Facilities
What are your hobbies?: Cricket, Badminton,Self Help Books
What are your strengths?: Inquisitive, Good Character, Working Good under Pressure, Positive Attitude
What are your weaknesses?: Procrastination, Introvert, Communication Skills
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 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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