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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: DNS2050469 |
Name: GURU SINGH |
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Address: 63-3-68/5 JAWAHAR NAGAR, SRIHARIPURAM |
| Telephone No.: |
Mobile no: 9177835622 |
| E-mail: gurusinghmail@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: 306378925 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050469 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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___________________ |
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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: GURU SINGH |
| Mother's Name: BHAGWATHI DEVI |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 10 Oct 2002 |
Nationality: INDIAN |
| Place of Birth: NARAYANPUR |
Personal Identification Mark: MOLES ON BOTH THE EARS |
| Blood Group: O + |
Address for Communication: 63-3-68/5 JAWAHAR NAGAR, SRIHARIPURAM |
| State: Andhra Pradesh |
Country: India |
| Pin: 530011 |
City/District: VISAKHAPATNAM |
| Mobile no: 9177835622 |
Telephone No. with STD code: |
| Aadhar Card No:734805427929 |
E-mail: gurusinghmail@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: HARENDRA SINGH |
Relationship with candidate: FATHER |
| Parents Date of Birth: 01 Jan 1981 |
Parent's/Guardian's Occupation/Designation: BUSINESS |
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| Office Address: |
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| Address: 63-3-68/5 JAWAHAR NAGAR,SRIHARIPURAM |
| Country: India |
State: Andhra Pradesh |
| City/District: VISAKHAPATNAM |
Pin: 530011 |
| Tel: |
Mobile no.: 8374432194 |
| Fax: |
Email: harendrasinghcc@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2018 |
Year of Passing: 2020 |
| Board: CBSE |
Board: Andhra Pradesh |
| School: DELHI PUBLIC SCHOOL |
School: SRI VENKATESWARA JUNIOR COLLEGE |
| City: VISAKHAPATNAM |
City: VISAKHAPATNAM |
| English %: 88 |
Board Roll No./Seat No.: |
| Aggregate Percentage: 80 |
School/College Code: |
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Centre code: |
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Address of School/College: 50-42-20, P and T colony, seethammadhara,visakhapatnam |
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Pin: 530013 |
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Contact Nos: |
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Email: svciit2002@gmail.com |
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Aggregate Percentage: |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
150 |
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| Chemistry |
150 |
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| Mathematics |
300 |
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| Physics, Chemistry & Mathematics combined Percentage: |
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| English |
100 |
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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 ?: I would spend my holidays improving my guitar skills, learning new foreign languages, going for a tour, and spending time with family and friends. |
| Why do you wish to join TMI?: I always admired to study in an esteemed and reputed institution like yours and you are giving such a great opportunity for students like me seek education under highly qualified and experienced faculty. I believe that your institution is a great place to study as it is one of the best institutions for marine courses and also in terms of placements. This makes me feel that it is an ideal place for me. |
| What are your hobbies?: reading, listening music, playing guitar, cycling |
| What are your strengths?: Ability to learn from mistakes, self confidence, fast learner, patience, discipline and determination |
| What are your weaknesses?: My weakness is that I sometimes have trouble saying no to requests. I am a straight forward person. |
| How do you intend to meet the expenses of this program?: Own Resources |
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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
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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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