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: DNS2051142 Name: Deepak kumar
  Address: Village kareeli Post kareeli Tehsil nadbai
Telephone No.: Mobile no: 7230977837
E-mail: dk7374056751@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 308391059
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051142 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: DNS2051142
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Deepak kumar
Mother's Name: Ratnesh devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Aug 2001 Nationality: Indian
Place of Birth: Nadbai Personal Identification Mark: Mole on face
Blood Group: A + Address for Communication: Village kareeli Post kareeli Tehsil nadbai
State: Rajasthan Country: India
Pin: 321602 City/District: Bharatpur
Mobile no: 7230977837 Telephone No. with STD code:
Aadhar Card No:362284163246 E-mail: dk7374056751@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vijay singh Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1973 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Village kareeli Post kareeli Tehsil nadbai
Country: India State: Rajasthan
City/District: Bharatpur Pin: 321602
Tel: Mobile no.: 6378131110
Fax: Email: vc9549884652@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Jawahar navodaya vidhyalaya bharatpur School: Jawahar navodaya vidhyalaya bharatpur
City: Bharatpur City: Bharatpur
English %: 90 Board Roll No./Seat No.: 1627620
Aggregate Percentage: 88 School/College Code: 03746
  Centre code: 03746
  Address of School/College: Chhonkarawara Bharatpur
  Pin: 321407
  Contact Nos:
  Email: Jawaharnavodayavidhyalaya@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 83 83
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 74
English 100 75 75
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
07/2017 NCC A certificate 2 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am preparing for nda in this time
Why do you wish to join TMI?: I think it will we a right place to improve our skill and to find a way to explore the world through marchent navy
What are your hobbies?: Adventure and scientific experiments
What are your strengths?: My decision making power is my strength
What are your weaknesses?: I have trouble saying NO
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 not uploaded Class XII marksheet
 
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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