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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)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2051432 |
Name: Vikash Kumar |
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Address: Bawan bigha,Road no-4D Muzaffarpur Post - Ramna, PS - Mithanpura Muzaffarpur, Bihar |
| Telephone No.: |
Mobile no: 6202900060 |
| E-mail: vk301201@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 308908219 |
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| 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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___________________ |
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| Date ________________ |
Date ________________ |
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| 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. |
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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
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| Applicant's Personal Information: |
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| 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 |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Bijli Singh |
Relationship with candidate: Father |
| Parents Date of Birth: 01 Jan 1975 |
Parent's/Guardian's Occupation/Designation: Shopkeeper |
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| Office Address: |
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| 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 |
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Education and Academic Record :
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| 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 |
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Centre code: 31016 |
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Address of School/College: Chandwara,near Jail chowk, Muzaffarpur |
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Pin: 842002 |
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Contact Nos: |
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Email: vikashsingh05908@gmail.com |
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Aggregate Percentage: 80 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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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 |
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| IMU CET Application Number: |
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| 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 |
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| 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 |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate
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Class XII admit card not uploaded
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Class XII marksheet
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| 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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