 |
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: DNS2050738 |
Name: Anurag Kumar Singh |
| |
Address: C-1201, Silicon Tower, Sector 30A, Vashi 46,SECTOR 30A,VASHI NAVI MUMBAI |
| Telephone No.: 9967309966 |
Mobile no: 8356049456 |
| E-mail: sattu51@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: 306856109 |
| |
|
| |
|
| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050738 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
| |
|
| |
|
___________________ |
___________________ |
| |
|
| 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
|
|
| |
|
| |
| Applicant's Personal Information: |
| |
| Full Name as on Class XII Marksheet/Pass Certificate: Anurag Kumar Singh |
| Mother's Name: Rinki Kumari |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 02 Jul 2002 |
Nationality: Indian |
| Place of Birth: Patna |
Personal Identification Mark: Mole on the right Knuckle |
| Blood Group: B + |
Address for Communication: C-1201, Silicon Tower, Sector 30A, Vashi 46,SECTOR 30A,VASHI NAVI MUMBAI |
| State: Maharashtra |
Country: India |
| Pin: 400705 |
City/District: Navi Mumbai |
| Mobile no: 8356049456 |
Telephone No. with STD code: 9967309966 |
| Aadhar Card No:941037277996 |
E-mail: sattu51@gmail.com |
|
| |
| Guardian's Particulars: |
| |
| Name of Parent/Guardian: Satyendra Kumar Singh |
Relationship with candidate: Father |
| Parents Date of Birth: 01 Feb 1961 |
Parent's/Guardian's Occupation/Designation: Marine Engineer |
| |
|
| Office Address: |
| |
|
| Address: V-Ships India Pvt Ltd Windsor Corporte Park Best Colony Road Oshiwara Mumbai |
| Country: India |
State: Maharashtra |
| City/District: Mumbai |
Pin: 400102 |
| Tel: |
Mobile no.: 9967309966 |
| Fax: |
Email: sayyu51@hotmail.com |
| |
|
Education and Academic Record :
|
| Class X: - |
Class XII: - |
| Year of Passing: 2018 |
Year of Passing: 2020 |
| Board: CBSE |
Board: CBSE |
| School: B K Birla Centre for Education |
School: Ryan International School |
| City: Pune |
City: Navi Mumbai |
| English %: 89 |
Board Roll No./Seat No.: |
| Aggregate Percentage: 80 |
School/College Code: |
| |
Centre code: |
| |
Address of School/College: Plot No 34 Sector 10 Navi Mumbai Maharashtra |
| |
Pin: 400705 |
| |
Contact Nos: 02227750299 |
| |
Email: ris.sanpada@ryangroup.org |
| |
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: |
|
|
| Sports & Extra Curricular Activities: |
| Achievements in Sports and Extra Curricular Activities |
| MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
| 12/2016 |
400 m |
School |
3rd |
| 01/2018 |
Versification |
School |
Third |
| 12/2018 |
Long Jump |
School |
1st |
| 12/2018 |
200 m |
School |
1st |
|
| |
| How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying for competitive exams, hobbies - tourism, digital technologies, badminton |
| Why do you wish to join TMI?: TMI is a vey famous and prestigious institute in the field of maritime training, it has got excellent placement record and produces high quality officers for shipboard employment. |
| What are your hobbies?: Badminton, tourism, watching informative documentaries. |
| What are your strengths?: Sportsmanship, stature and endearing, humility with ability to deliver |
| What are your weaknesses?: Playfulness, too many dreams and difficult to act upon them. |
| 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
|
Class XII admit card
|
Class XII marksheet not uploaded
|
| |
| Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
| |
___________________ |
Date ________________ |
| |