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
   
   

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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: DNS2050738
 
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

 

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Date ________________

 
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