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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: DNS2050647 |
Name: OM UMANG |
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Address: 199/3, hunter enclave 199/3 hunter enclave air force station ambala cantt |
| Telephone No.: |
Mobile no: 8572077170 |
| E-mail: omumangrox@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 306713099 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050647 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: OM UMANG |
| Mother's Name: ROMI JHA |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 08 Jan 2003 |
Nationality: INDIAN |
| Place of Birth: DHANBAD |
Personal Identification Mark: CUT ABOVE RIGHT EYEBROW |
| Blood Group: B + |
Address for Communication: 199/3, hunter enclave 199/3 hunter enclave air force station ambala cantt |
| State: Haryana |
Country: India |
| Pin: 133001 |
City/District: ambala cantt |
| Mobile no: 8572077170 |
Telephone No. with STD code: |
| Aadhar Card No:368566457879 |
E-mail: omumangrox@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: UDAY KANT JHA |
Relationship with candidate: FATHER |
| Parents Date of Birth: 05 Jan 1970 |
Parent's/Guardian's Occupation/Designation: MILITARY |
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| Office Address: |
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| Address: 199/3, hunter enclave air force station 199/3, hunter enclave air force station |
| Country: India |
State: Haryana |
| City/District: ambala cantt |
Pin: 133001 |
| Tel: |
Mobile no.: 8397875126 |
| Fax: |
Email: omumangrox@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: CBSE |
| School: AIR FORCE SCHOOL |
School: AMBALA PUBLIC SCHOOL |
| City: ambala cantt |
City: ambala cantt |
| English %: 64 |
Board Roll No./Seat No.: |
| Aggregate Percentage: 61 |
School/College Code: |
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Centre code: |
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Address of School/College: 199/3, hunter enclave air force station |
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Pin: 133001 |
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Contact Nos: |
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Email: omumangrox@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 |
100 |
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| Chemistry |
100 |
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| Mathematics |
100 |
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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 WILL SPEND MY TIME BY LEARNING MORE SKILLS LIKE HOW TO PLAY GUITAR. PURSUE MY INTEREST IN STAND-UP COMEDY AND GO FOR VACATION |
| Why do you wish to join TMI?: BECAUSE THEY HAVE THE BEST FACULTY AND THE BEST INFRASTRUCTURE FOR EDUCATION THATS MAKE THEM THE BEST COLLEGE FOR MERCHANT NAVY IN INDIA |
| What are your hobbies?: PLAYING FOOTBALL,STAND-UPCOMEDY,BADMINTON,LISTENING MUSIC |
| What are your strengths?: CALM AND PATIENCE AND KNOW HOW TO DEAL WITH DIFFICULT SITUATION |
| What are your weaknesses?: IF I FOCUS ON SOMETHING I CANT RESIST MYSELF FROM COMPLETING IT NO MATTER HOW MUCH TIME WILL IT TAKE |
| 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 not uploaded
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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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