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: DNS2050893 Name: SACHIN KUMAR SINGH
  Address: VILLAGE-BARAHI WARD NUMBER-04 POLICE STATION-RIGA
Telephone No.: Mobile no: 7979910088
E-mail: s7979910088@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 307461884
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050893 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

 
  Dossier ID: DNS2050893
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SACHIN KUMAR SINGH
Mother's Name: MALA SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Apr 2002 Nationality: INDIAN
Place of Birth: AALO Personal Identification Mark: A CUT MARK ON FACE
Blood Group: O + Address for Communication: VILLAGE-BARAHI WARD NUMBER-04 POLICE STATION-RIGA
State: Bihar Country: India
Pin: 843327 City/District: SITAMARHI
Mobile no: 7979910088 Telephone No. with STD code:
Aadhar Card No: E-mail: s7979910088@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BALKISHOR SINGH Relationship with candidate: Father
Parents Date of Birth: 06 Jun 1974 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: SHIV AGRO AGENCY NEAR SWARAJ TRACTOR AGENCY NEAR ZERO MILE
Country: India State: Bihar
City/District: SITAMARHI Pin: 843329
Tel: Mobile no.: 6202166607
Fax: Email: balkishorsingh69@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: SIYOM VALLEY SCHOOL School: RPS SCHOOL
City: AALO ARUNACHAL PRADESH City: BIHAR SHARIF NALANDA
English %: 95 Board Roll No./Seat No.: 7632941
Aggregate Percentage: 95 School/College Code: 50306
  Centre code: 7111
  Address of School/College: Makanpur Bihar Sharif nalanda Bihar
  Pin: 803101
  Contact Nos:
  Email: singhchauhan039@gmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 64 64
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 64.33
English 100 70 70
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for IMU CET and sponsership test, Playing
Why do you wish to join TMI?: I wish to join TMI because of its good infrastructure,excellent training facility,best facultys and better placement records
What are your hobbies?: Playing badminton, Study
What are your strengths?: Ability to work under pressure
What are your weaknesses?: No weakness
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 Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form