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: DNS2050776 Name: ADARSH PAL
  Address: EWS- 449 RAPTINAGAR PHASE-4 CHARGAWAN
Telephone No.: Mobile no: 8707594126
E-mail: a9580948920@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: 306965843
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050776 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: DNS2050776
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ADARSH PAL
Mother's Name: SAVITA PAL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Sep 2002 Nationality: INDIAN
Place of Birth: PRAYAGRAJ Personal Identification Mark: SMALL SCRATCH MARK ON LEFT CHEEK
Blood Group: B + Address for Communication: EWS- 449 RAPTINAGAR PHASE-4 CHARGAWAN
State: Uttar Pradesh Country: India
Pin: 273013 City/District: GORAKHPUR
Mobile no: 8707594126 Telephone No. with STD code:
Aadhar Card No:470029386463 E-mail: a9580948920@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANDEEP KUMAR PAL Relationship with candidate: FATHER
Parents Date of Birth: 05 Nov 1971 Parent's/Guardian's Occupation/Designation: GOVT. SERVICE
   
Office Address:
   
Address: MECHANICAL WORKSHOP NORTH EASTERN RAILWAY GORAKHPUR
Country: India State: Uttar Pradesh
City/District: GORAKHPUR Pin: 273001
Tel: Mobile no.: 9794840470
Fax: Email: palsandeep424@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: ISCE Board: Uttar Pradesh
School: METROPOLITAN SCHOOL School: BL SS CONV I C B GANJ SIKANDRA PRAYAGRAJ
City: GORAKHPUR City: PRAYAGRAJ
English %: 61 Board Roll No./Seat No.: 1385972
Aggregate Percentage: 75 School/College Code: 1559
  Centre code: 05076
  Address of School/College: BABU GANJ SIKANDRA PRAYAGRAJ
  Pin: 212109
  Contact Nos:
  Email: palsandeep424@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 84 84
Chemistry 100 82 82
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 86.67
English 100 66 66
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for sponsorship exam and IMU CET
Why do you wish to join TMI?: FOR BEST TRAINING AND GOOD PLACEMENT
What are your hobbies?: SINGING
What are your strengths?: STRONG WILLPOWER , GOOD ADAPTABILITY
What are your weaknesses?: TALKATIVE , FOODY AND STRAIGHT FORWARD
How do you intend to meet the expenses of this program?: Own Resources
 
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
 
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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