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: DNS2051370 Name: SIYA RAM
  Address: VPO-DHEENGSARI TH-LADNUN ,NAGOUR, RAJASTHAN
Telephone No.: 9982485781 Mobile no: 9772626641
E-mail: SIYARAMMANDA555@GMAIL.COM  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 308791986
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051370 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: DNS2051370
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SIYA RAM
Mother's Name: SUVATI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Nov 2000 Nationality: INDIAN
Place of Birth: DHEENGSARI Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: O + Address for Communication: VPO-DHEENGSARI TH-LADNUN ,NAGOUR, RAJASTHAN
State: Rajasthan Country: India
Pin: 341317 City/District: NAGOUR
Mobile no: 9772626641 Telephone No. with STD code: 9982485781
Aadhar Card No: E-mail: SIYARAMMANDA555@GMAIL.COM
 
Guardian's Particulars:
 
Name of Parent/Guardian: GOVIND RAM Relationship with candidate: FATHER
Parents Date of Birth: 25 Jan 1979 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VPO-DHEENGSARI TH-LADAUN, NAGAUR RAJASTHAN
Country: India State: Rajasthan
City/District: NAGAUR Pin: 341317
Tel: Mobile no.: 9982485781
Fax: Email: siyarammanda555@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: Rajasthan Board: Rajasthan
School: KRISHNA BAL BHARTHI SHIK SANS SR SSRATAU School: KOTA CAREER POINT SR SS
City: NAGAUR City: NAGAUR
English %: 64 Board Roll No./Seat No.: 2628350
Aggregate Percentage: 74 School/College Code: 126824
  Centre code: 19152
  Address of School/College: KUCHAMAN NAGAUR RAJASTHAN
  Pin: 341508
  Contact Nos: 9772626641
  Email: siyarammanda555@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 73 73
Mathematics 100 69 69
Physics, Chemistry & Mathematics combined Percentage: 73.33
English 100 74 74
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for imu cet
Why do you wish to join TMI?: it is one of the best institutes in pune
What are your hobbies?: playing cricket
What are your strengths?: parents
What are your weaknesses?: short temper
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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