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: DNS2050899 Name: Harsh vardhan
  Address: Manash Nagar hatiya gatcchi Saharsa Bihar-852201
Telephone No.: +91 Mobile no: 6203543752
E-mail: iharshvardhan2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 308470221
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050899 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: DNS2050899
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harsh vardhan
Mother's Name: Bina devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Mar 2003 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: Mark on head
Blood Group: O - Address for Communication: Manash Nagar hatiya gatcchi Saharsa Bihar-852201
State: Bihar Country: India
Pin: 852201 City/District: Saharsa
Mobile no: 6203543752 Telephone No. with STD code: +91
Aadhar Card No:783289561253 E-mail: iharshvardhan2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sushil Kumar Jha Relationship with candidate: Father
Parents Date of Birth: 16 Dec 1974 Parent's/Guardian's Occupation/Designation: 4th Grade staff
   
Office Address:
   
Address: Saharsa hatiya gatcchi Bihar
Country: India State: Bihar
City/District: Saharsa Pin: 852201
Tel: 91 Mobile no.: 7033620834
Fax: Email: iharshvardhan2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Eklavya central school School: L.A.garden
City: Saharsa City: Ranchi
English %: 77 Board Roll No./Seat No.: 22714818
Aggregate Percentage: 70 School/College Code: 66415
  Centre code: 6860
  Address of School/College: Samlong,ranchi
  Pin: 834001
  Contact Nos:
  Email: iharshvardhan2003@gmail.com
  Aggregate Percentage: 85
   
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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By preparing for exam
Why do you wish to join TMI?: For getting job
What are your hobbies?: Earn money
What are your strengths?: Become a rich person
What are your weaknesses?: Lack of money
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
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