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: DNS2051432 Name: Vikash Kumar
  Address: Bawan bigha,Road no-4D Muzaffarpur Post - Ramna, PS - Mithanpura Muzaffarpur, Bihar
Telephone No.: Mobile no: 6202900060
E-mail: vk301201@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 308908219
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051432 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: DNS2051432
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vikash Kumar
Mother's Name: Rina Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Dec 2001 Nationality: Indian
Place of Birth: Muzaffarpur Personal Identification Mark: Mole on right side of face
Blood Group: O + Address for Communication: Bawan bigha,Road no-4D Muzaffarpur Post - Ramna, PS - Mithanpura Muzaffarpur, Bihar
State: Bihar Country: India
Pin: 842002 City/District: Muzaffarpur
Mobile no: 6202900060 Telephone No. with STD code:
Aadhar Card No:340471904048 E-mail: vk301201@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bijli Singh Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1975 Parent's/Guardian's Occupation/Designation: Shopkeeper
   
Office Address:
   
Address: Bawan Bigha,Road no -4D, Muzaffarpur Post - Ramna ,PS - Mithanpura Muzaffarpur,Bihar
Country: India State: Bihar
City/District: Muzaffarpur Pin: 842002
Tel: Mobile no.: 8102279953
Fax: Email: vikashsingh05908@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2019
Board: CBSE Board: Bihar
School: P.C.H.S School: Dr J. Mishra College
City: Muzaffarpur City: Muzaffarpur
English %: 95 Board Roll No./Seat No.: 19040024
Aggregate Percentage: 89 School/College Code: 31016
  Centre code: 31016
  Address of School/College: Chandwara,near Jail chowk, Muzaffarpur
  Pin: 842002
  Contact Nos:
  Email: vikashsingh05908@gmail.com
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 77 77
Chemistry 100 85 85
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 85.33
English 100 73 73
   
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
01/2019 Kabaddi District Second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent most of time in preparing for IMU CET and different companies sponsorship test and interview after 12th.
Why do you wish to join TMI?: It is one of the best maritime institute of our country and also known for its academic performance because of which I wish to join TMI
What are your hobbies?: Body building, watching reality shows
What are your strengths?: My smart work nature and my positive attitude during probalmatic situation are my strengths.
What are your weaknesses?: I can easily mingle with others
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 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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