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: DNS2050665 Name: Md sadan
  Address: Ara khurd po- chandopara Near ahmad traders
Telephone No.: Mobile no: 6202541690
E-mail: mdsadan600@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 306818429
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050665 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: DNS2050665
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Md sadan
Mother's Name: Sabira Begum
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Jun 2002 Nationality: Indian
Place of Birth: Allahabad Personal Identification Mark: Aadhaar card
Blood Group: O + Address for Communication: Ara khurd po- chandopara Near ahmad traders
State: Uttar Pradesh Country: India
Pin: 212402 City/District: Allahabad
Mobile no: 6202541690 Telephone No. with STD code:
Aadhar Card No:812075537915 E-mail: mdsadan600@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Md akram Relationship with candidate: Father
Parents Date of Birth: 27 Jan 1968 Parent's/Guardian's Occupation/Designation: Service man
   
Office Address:
   
Address: Tata sijua dhanbad Sijua colliery
Country: India State: Jharkhand
City/District: Dhanbad Pin: 828304
Tel: Mobile no.: 7909043250
Fax: Email: mdsadan783@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DAV sijua School: DAV SIJUA
City: Dhanbad City: Dhanbad
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: Bhelatand
  Pin: 828301
  Contact Nos:
  Email: mdsadan600@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I should start my preparation for exams
Why do you wish to join TMI?: Yes
What are your hobbies?: Playing cricket
What are your strengths?: Be happy
What are your weaknesses?: Friends
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 not uploaded Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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