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: DNS2051112 Name: Rohit Thakur
  Address: EA-428 ADA COLONY NAINI , ALLAHABAD EA-428 ADA COLONY NAINI , ALLAHABAD EA-428 ADA COLONY NAINI , ALLAHABAD
Telephone No.: Mobile no: 9198376516
E-mail: rohitchandthakur2001@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 308374662
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051112 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: DNS2051112
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rohit Thakur
Mother's Name: Madhvi Thakur
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Aug 2001 Nationality: Indian
Place of Birth: Uttarakhand Personal Identification Mark: Mole on chest
Blood Group: A + Address for Communication: EA-428 ADA COLONY NAINI , ALLAHABAD EA-428 ADA COLONY NAINI , ALLAHABAD EA-428 ADA COLONY NAINI , ALLAHABAD
State: Uttar Pradesh Country: India
Pin: 211008 City/District: Allahabad
Mobile no: 9198376516 Telephone No. with STD code:
Aadhar Card No:828045223249 E-mail: rohitchandthakur2001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mohan Chand Thakur Relationship with candidate: Son
Parents Date of Birth: 03 Sep 1973 Parent's/Guardian's Occupation/Designation: Private Job
   
Office Address:
   
Address: Polyplex corporation Ltd. Lohrahead Road khatima ,262308 Polyplex corporation Ltd. Lohrahead Road khatima ,262308 Polyplex corporation Ltd. Lohrahead Road khatima ,262308
Country: India State: Other
City/District: Khatima Pin: 262308
Tel: Mobile no.: 9936528998
Fax: Email: mohanchandthakur15@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: ISCE Board: Uttar Pradesh
School: St Johns co ed school. School: Sri Ram Singh Inter College
City: Allahabad City: Prayagraj
English %: 49 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Centre code:
  Address of School/College: Golhaiya shankargarh, Prayagraj, Uttar Pradesh 212107
  Pin: 212107
  Contact Nos: 09565044982
  Email: sundaram212107@gmail.com
  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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will start my preparation to qualify competitive exams.
Why do you wish to join TMI?: Because TMI has best college facility and placement record.
What are your hobbies?: Playing online games.
What are your strengths?: I am hardworking guy.
What are your weaknesses?: I easily trust anyone.
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 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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