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: DNS2050873 Name: Prince kumar
  Address: 501/B wing Devyani Avenue ganganagar Pune , Maharashtra
Telephone No.: Mobile no: 8968804867
E-mail: pjha3122001@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: 307374630
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050873 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: DNS2050873
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Prince kumar
Mother's Name: Vibha Jha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Dec 2001 Nationality: Indian
Place of Birth: Jalandhar Personal Identification Mark: mole on forehead
Blood Group: B + Address for Communication: 501/B wing Devyani Avenue ganganagar Pune , Maharashtra
State: Maharashtra Country: India
Pin: 412308 City/District: Pune
Mobile no: 8968804867 Telephone No. with STD code:
Aadhar Card No:316984160720 E-mail: pjha3122001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Subodh kumar Jha Relationship with candidate: father
Parents Date of Birth: 14 Jul 1976 Parent's/Guardian's Occupation/Designation: Defence service
   
Office Address:
   
Address: 501/B wing devyani avenue , ganganagar
Country: India State: Maharashtra
City/District: Pune Pin: 412308
Tel: Mobile no.: 7889132270
Fax: Email: pjha3122001@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Army school School: Army school
City: Patiala City: Patiala
English %: 80 Board Roll No./Seat No.: 2761763
Aggregate Percentage: 81 School/College Code: 20069
  Centre code: 2457
  Address of School/College: Army school tarapore enclave, patiala cantt ,Punjab
  Pin: 147001
  Contact Nos:
  Email: asppatiala@gmail.com
  Aggregate Percentage: 62
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 52 52
Chemistry 100 52 52
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 53.67
English 100 59 59
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for improvement exam
Why do you wish to join TMI?: one of the best institute
What are your hobbies?: Fitness
What are your strengths?: I always ask my doubts
What are your weaknesses?: Eating
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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