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: DNS2051019 Name: KAUSHIKI SAHA
  Address: Flat no 284, Vinayak Apartment, BHEL Housing Society, C-58/19, Sector-62, Noida
Telephone No.: Mobile no: 9599095029
E-mail: mimziprinting@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: 308195176
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051019 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: DNS2051019
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KAUSHIKI SAHA
Mother's Name: SRABANI SAHA
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Oct 2001 Nationality: INDIAN
Place of Birth: KOLKATA Personal Identification Mark: MOLE ON LEFT CHEST
Blood Group: AB + Address for Communication: Flat no 284, Vinayak Apartment, BHEL Housing Society, C-58/19, Sector-62, Noida
State: Uttar Pradesh Country: India
Pin: 201301 City/District: NOIDA
Mobile no: 9599095029 Telephone No. with STD code:
Aadhar Card No:662290387960 E-mail: mimziprinting@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ARNAB SAHA Relationship with candidate: FATHER
Parents Date of Birth: 07 Aug 1973 Parent's/Guardian's Occupation/Designation: MANAGER FINANCE
   
Office Address:
   
Address: RICOH INDIA LTD, TOWER-B, WINDSOR IT PARK, PLOT NO A1, SECTOR-125, NOIDA
Country: India State: Uttar Pradesh
City/District: NOIDA Pin: 201301
Tel: Mobile no.: 8527331164
Fax: Email: arnab.saha0708@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: FATHER AGNEL SCHOOL NOIDA School: FATHER AGNEL SCHOOL NOIDA
City: NOIDA City: NOIDA
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Plot no 1 and 2, Institutional Area, Sector-62, Noida, Uttar Pradesh
  Pin: 201301
  Contact Nos: 2476500
  Email: contactus@fasnoida.org
  Aggregate Percentage:
   
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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
07/2012 SPELL BEE competition Interschool 4th
08/2014 Science Olympiad International 2313
12/2010 Extempore City 1st
09/2012 Swimming District 3rd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am very fond of reading books and writing stories and novels. I have already planned to read some books on adventurous sailing and also decided to complete one novel which I have already started.
Why do you wish to join TMI?: I believe, TMI is the best maritime institute in India and I always try to go for the best.
What are your hobbies?: Reading books, Writing stories and I love to swime
What are your strengths?: Fearlessness, Adventurous, Focused, Dedication
What are your weaknesses?: I can not resist myself to work in an innovative way
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 not uploaded
 
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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