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: DNS2051330 Name: NITIN SINGH
  Address: SA-10 10/18 Buddha city colony Phase II Sarnath VARANASI UTTAR PRADESH
Telephone No.: +91 7355487224 Mobile no: 9682738694
E-mail: nitinsinghvns6@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 308718497
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051330 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: DNS2051330
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NITIN SINGH
Mother's Name: SAVITA SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jul 2002 Nationality: INDIAN
Place of Birth: VARANASI Personal Identification Mark: A MOLE ON LEFT EAR
Blood Group: B + Address for Communication: SA-10 10/18 Buddha city colony Phase II Sarnath VARANASI UTTAR PRADESH
State: Uttar Pradesh Country: India
Pin: 221007 City/District: VARANASI
Mobile no: 9682738694 Telephone No. with STD code: +91 7355487224
Aadhar Card No:478558711973 E-mail: nitinsinghvns6@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AJAY SHEKHAR SINGH Relationship with candidate: FATHER
Parents Date of Birth: 25 Oct 1970 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: AVIC DHANAPUR
Country: India State: Uttar Pradesh
City/District: VARANASI Pin: 221007
Tel: Mobile no.: 9450241611
Fax: Email: nitinsinghvns6@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: CENTRAL ACADEMY SCHOOL School: BHUPESH GUPT MAHAVIDYALAY
City: UDAIPUR City: Kaimur
English %: 85 Board Roll No./Seat No.: 1922007492
Aggregate Percentage: 76 School/College Code: CW14020114
  Centre code: 192143
  Address of School/College: Ramlal Nagar Bhabua
  Pin: 821101
  Contact Nos:
  Email: nitinsinghvns6@gmail.com
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 53 53
Chemistry 100 80 80
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 64.33
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Gaining knowledge about my stream.
Why do you wish to join TMI?: It provides a right platform
What are your hobbies?: Traveling, cycling
What are your strengths?: My confidence and self respect
What are your weaknesses?: Tolerance
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

 

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Date ________________

 
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