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: DNS2050965 Name: VIKASH JANGID
  Address: VPO INDALI TH NAWA DIS. NAGAUR VPO INDALI TH NAWA DIS. NAGAUR RAJASTHAN
Telephone No.: Mobile no: 9549982239
E-mail: vikashmjangid421@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: 307920682
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050965 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: DNS2050965
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIKASH JANGID
Mother's Name: MANJU DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jun 2002 Nationality: INDIAN
Place of Birth: INDALI Personal Identification Mark: THE MOLE ON EAR
Blood Group: O + Address for Communication: VPO INDALI TH NAWA DIS. NAGAUR VPO INDALI TH NAWA DIS. NAGAUR RAJASTHAN
State: Rajasthan Country: India
Pin: 341508 City/District: NAGAUR
Mobile no: 9549982239 Telephone No. with STD code:
Aadhar Card No:967193954349 E-mail: vikashmjangid421@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MADAN LAL JANGID Relationship with candidate: FATHER
Parents Date of Birth: 04 Apr 1980 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VPO INDALI TH NAWA DIS. NAGAUR VPO INDALI TH NAWA DIS. NAGAUR RAJASTHAN
Country: India State: Rajasthan
City/District: NAGAUR Pin: 341508
Tel: Mobile no.: 9672302840
Fax: Email: vikashmjangid421@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Rajasthan Board: Rajasthan
School: VIVEKANAND SR SEC SCH KUKANWALI School: TAGORE SHIKSHAN SANSTHAN SR SEC SCH KUCHAMAN CITY
City: KUKANWALI City: KUCHAMAN CITY
English %: 70 Board Roll No./Seat No.: 2658113
Aggregate Percentage: 82 School/College Code: 1190325
  Centre code: 19149
  Address of School/College: KUCHAMAN CITY
  Pin: 341508
  Contact Nos:
  Email: TAGORESCIENCESCHOOL@GMAIL.COM
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 81 81
Chemistry 100 80 80
Mathematics 100 90 90
Physics, Chemistry & Mathematics combined Percentage: 83.67
English 100 79 79
   
IMU CET Application Number: CET20D97116  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I HAVE PREPRATION OF IMU-CET
Why do you wish to join TMI?: IT IS BEST INSTITUTE FOR DNS COURSE
What are your hobbies?: PLAYING CRICKET
What are your strengths?: MY PARENTS
What are your weaknesses?: NO WEAKNESSES
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

 

___________________

Date ________________

 
Print Summary and Application Form