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: DNS2050563 Name: Anil kumar
  Address: 129- Keshav Kunj colony Ganeshra road Mathura
Telephone No.: Mobile no: 6398233323
E-mail: anil2018.111@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 306507351
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050563 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: DNS2050563
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Anil kumar
Mother's Name: Madhu
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Oct 2001 Nationality: Indian
Place of Birth: Bharatpur Personal Identification Mark: A black mole on forehead
Blood Group: B + Address for Communication: 129- Keshav Kunj colony Ganeshra road Mathura
State: Uttar Pradesh Country: India
Pin: 281004 City/District: Mathura
Mobile no: 6398233323 Telephone No. with STD code:
Aadhar Card No:343119326870 E-mail: anil2018.111@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Nandram Relationship with candidate: Father
Parents Date of Birth: 06 Apr 1972 Parent's/Guardian's Occupation/Designation: Government sector
   
Office Address:
   
Address: 129- Keshav Kunj colony Ganeshra road Mathura Uttar Pradesh
Country: India State: Uttar Pradesh
City/District: Mathura Pin: 281004
Tel: Mobile no.: 8171070419
Fax: Email: anilsingh345553@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: MPSM Grace convent school Ganeshra Mathura uttar Pradesh School: Kanha makhan public school saraswati kind Mathura
City: Mathura City: Mathura
English %: 85 Board Roll No./Seat No.: 5710530
Aggregate Percentage: 87 School/College Code: 54251
  Centre code: 0565
  Address of School/College: Kanha makhan public school saraswati kund Mathura Uttar Pradesh
  Pin: 281004
  Contact Nos:
  Email: kmps_mtr2007@rediffmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 83 83
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 82.33
English 100 79 79
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for competitive exam
Why do you wish to join TMI?: at present this is the best Maritime academy in India with the maximum training, knowledge and placement percentage.
What are your hobbies?: Playing cricket
What are your strengths?: Committed towards work , positive thinking and attitude
What are your weaknesses?: I get impatient when work is beyond the deadline
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 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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