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: DNS2050655 Name: VIDYA RATNA
  Address: Basanwara,alamnagar,madhepura Bihar
Telephone No.: Mobile no: 7545098557
E-mail: vidyaratna852210@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: 306718038
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050655 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: DNS2050655
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIDYA RATNA
Mother's Name: Pinki devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Feb 2001 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: A mole mark on right hand ring finger
Blood Group: O + Address for Communication: Basanwara,alamnagar,madhepura Bihar
State: Bihar Country: India
Pin: 852210 City/District: Madhepura
Mobile no: 7545098557 Telephone No. with STD code:
Aadhar Card No:784048823109 E-mail: vidyaratna852210@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Uday kumar singh Relationship with candidate: Father
Parents Date of Birth: 26 Jan 1980 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Basanwara,alamnagar,madhepura Bihar
Country: India State: Bihar
City/District: Madhepura Pin: 852210
Tel: Mobile no.: 7631306227
Fax: Email: vidyaratna852210@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Bihar Board: Bihar
School: SR HIGH SCHOOL School: SGD PATLIPUTRA HIGH SCHOOL
City: KHAGARIA City: PATNA
English %: 58 Board Roll No./Seat No.: 19010158
Aggregate Percentage: 75 School/College Code: 11032
  Centre code: 10280804502
  Address of School/College: KADAMKUAN PATNA 800003
  Pin: 800003
  Contact Nos: 07545098557
  Email: vidyaratna852210@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 69 69
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 69.33
English 100 71 71
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am spending time to get knowledge about merchant navy
Why do you wish to join TMI?: Because TMI is very famous among all the merchant navy Institute
What are your hobbies?: TRAVELING AND PLAYING VIDEO GAMES
What are your strengths?: HARD WORKING AND NEVER LET GO
What are your weaknesses?: Nothing
How do you intend to meet the expenses of this program?: 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 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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