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: DNS2050494 Name: RAJAN KUMAR DAS
  Address: AT-JANGI,PO-UNTA,PS-CHATRA CHATRA CHATRA
Telephone No.: Mobile no: 7488768849
E-mail: rajan52523@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 306417950
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050494 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: DNS2050494
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RAJAN KUMAR DAS
Mother's Name: KAPUR DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Apr 2002 Nationality: INDIAN
Place of Birth: CHATRA Personal Identification Mark: A MOLE MARK ON FACE
Blood Group: O + Address for Communication: AT-JANGI,PO-UNTA,PS-CHATRA CHATRA CHATRA
State: Jharkhand Country: India
Pin: 825401 City/District: CHATRA
Mobile no: 7488768849 Telephone No. with STD code:
Aadhar Card No:827603261559 E-mail: rajan52523@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BHIKHU RAVIDAS Relationship with candidate: FATHER
Parents Date of Birth: 03 May 1976 Parent's/Guardian's Occupation/Designation: SELF
   
Office Address:
   
Address: AT-JANGI PO-UNTA,PS-CHATRA CHATRA CHATRA
Country: India State: Jharkhand
City/District: CHATRA Pin: 825401
Tel: Mobile no.: 7739553923
Fax: Email: bhyikhuravidas@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Jharkand
School: ST SC HAZARIBAH School: G C RANCHI
City: HAZARIBAH City: RANCHI
English %: 85 Board Roll No./Seat No.: 10311
Aggregate Percentage: 83 School/College Code: 11013
  Centre code: 033
  Address of School/College: RANCHI
  Pin: 834001
  Contact Nos:
  Email: gcranprincipal@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 77 77
Chemistry 100 81 81
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 77.67
English 100 70 70
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION
Why do you wish to join TMI?: NO
What are your hobbies?: CRICKET
What are your strengths?: BAT
What are your weaknesses?: BOWL
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 Class XII marksheet
 
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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