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: DNS2051519 Name: Sumit Choudhary
  Address: FLAT NO-201, SRINATH SRISHTI BEHIND CARMEL SCHOOL,SONARI
Telephone No.: 07250999821 Mobile no: 7250999821
E-mail: sc80291@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309034023
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051519 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: DNS2051519
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sumit Choudhary
Mother's Name: Sangeeta Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Feb 2001 Nationality: INDIAN
Place of Birth: Patna Personal Identification Mark: a scar below the eye
Blood Group: O + Address for Communication: FLAT NO-201, SRINATH SRISHTI BEHIND CARMEL SCHOOL,SONARI
State: Jharkhand Country: India
Pin: 831011 City/District: Jamshedpur
Mobile no: 7250999821 Telephone No. with STD code: 07250999821
Aadhar Card No:539730924347 E-mail: sc80291@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Surendra Choudhary Relationship with candidate: Father
Parents Date of Birth: 10 Jan 1968 Parent's/Guardian's Occupation/Designation: INCOME TAX OFFICER
   
Office Address:
   
Address: Sector 1 Bokaro steel city
Country: India State: Jharkhand
City/District: Bokaro Steel City Pin: 827001
Tel: Mobile no.: 8986911521
Fax: Email: sc80291@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: ISCE Board: Jharkand
School: Loyola School School: Loyola School
City: Jamshedpur City: Jamshedpur
English %: 83 Board Roll No./Seat No.: 6420104
Aggregate Percentage: 82 School/College Code: JH020
  Centre code: 2192378
  Address of School/College: Beldih Triangle, Bistupur
  Pin: 831001
  Contact Nos:
  Email: loyolajsr@gmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 53 53
Mathematics 100 55 55
Physics, Chemistry & Mathematics combined Percentage: 62.33
English 100 78 78
   
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
11/2016 Basketball zonals second
04/2019 Drawing school best artist
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for exams and interviews
Why do you wish to join TMI?: It provides a high standard teaching methodology
What are your hobbies?: Drawing and basketball
What are your strengths?: I am very good in interacting with new people.
What are your weaknesses?: I have a bit of anger issues.
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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