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: DNS2050540 Name: RISHABH RAI
  Address: 4/149 VIRAT KHAND 4 GOMTINAGAR LUCKNOW
Telephone No.: Mobile no: 7080952701
E-mail: CHOTURAIFEB14@GMAIL.COM  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 306499727
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050540 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: DNS2050540
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RISHABH RAI
Mother's Name: RANJANA RAI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Feb 2001 Nationality: INDIAN
Place of Birth: SAIDPUR Personal Identification Mark: MOLE ON LEFT FOOT
Blood Group: B + Address for Communication: 4/149 VIRAT KHAND 4 GOMTINAGAR LUCKNOW
State: Uttar Pradesh Country: India
Pin: 226010 City/District: LUCKNOW
Mobile no: 7080952701 Telephone No. with STD code:
Aadhar Card No: E-mail: CHOTURAIFEB14@GMAIL.COM
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAVI SHANKAR RAI Relationship with candidate: FATHER
Parents Date of Birth: 01 Aug 1986 Parent's/Guardian's Occupation/Designation: RAILWAY PROTECTION FORCE
   
Office Address:
   
Address: RPF POST RAILWAY STATION GOMTINAGAR LUCKNOW
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226010
Tel: Mobile no.: 9450545164
Fax: Email: CHOTURAIFEB14@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: KENDRIYA VIDYALAYA BALRAMPUR School: KENDRIYA VIDYALAYA GOMTINAGAR
City: BALRAMPUR City: LUCKNOW
English %: 85 Board Roll No./Seat No.: 5702790
Aggregate Percentage: 87 School/College Code: 08698
  Centre code: 5250
  Address of School/College: VIKAS KHAND 1, GOMTINAGAR ,LUCKNOW
  Pin: 226010
  Contact Nos:
  Email: CHOTURAIFEB14@GMAIL.COM
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 90 90
Mathematics 100 86 86
Physics, Chemistry & Mathematics combined Percentage: 83
English 100 69 69
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: ONE YEAR DROP DUE TO MONEY ISSUES
Why do you wish to join TMI?: DREAM TO BECOME DECK CADET OFFICER
What are your hobbies?: PLAYING GAMES,WRITING QUOTES
What are your strengths?: DEDICATION ,HARD WORKING
What are your weaknesses?: NOT GOOD IN ENGLISH SPEAKING
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
 
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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