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: DNS2050754 Name: Bharosi kumar
  Address: At-Mahamadpur Post-Nathnagar P. S. -Madhusudanpur Dis-Bhagalpur
Telephone No.: Mobile no: 8083396503
E-mail: bharosikumar812006@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 306924963
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050754 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: DNS2050754
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Bharosi kumar
Mother's Name: Sarojani devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jan 2001 Nationality: Indian
Place of Birth: Nathnagar Personal Identification Mark: A mole on right hand
Blood Group: B - Address for Communication: At-Mahamadpur Post-Nathnagar P. S. -Madhusudanpur Dis-Bhagalpur
State: Bihar Country: India
Pin: 812006 City/District: Bhagalpur
Mobile no: 8083396503 Telephone No. with STD code:
Aadhar Card No:940935980386 E-mail: bharosikumar812006@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Suresh tanti Relationship with candidate: Father
Parents Date of Birth: 18 Aug 1960 Parent's/Guardian's Occupation/Designation: Labour
   
Office Address:
   
Address: At-Nathnagar Station Road Bhagalpur
Country: India State: Bihar
City/District: Bhagalpur Pin: 812006
Tel: Mobile no.: 6204844812
Fax: Email: sureshtanti467@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Bihar Board: Bihar
School: Gurukul High School Nathnagar School: Bhagalpur National College Bhagalpur
City: Bhagalpur City: Bhagalpur
English %: 51 Board Roll No./Seat No.: 19010180
Aggregate Percentage: 76 School/College Code: 71005
  Centre code: 812002
  Address of School/College: At-Lower Nathnagar Road, P. O. TNB College , Bhagalpur
  Pin: 812007
  Contact Nos:
  Email: bncollegebhagalpur@gmail.com
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 68 68
Mathematics 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 78
English 100 62 62
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: IMU CET and TMI Preparition.
Why do you wish to join TMI?: Because, TMI is best institute in India.
What are your hobbies?: Reading Book
What are your strengths?: Work hard
What are your weaknesses?: No weakness
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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