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: DNS2051621 Name: kislay kumar
  Address: bhudhnagra niwas near maharaja palace qurban road chandwara muzaffarpur qurban road chandwara muzaffarpur
Telephone No.: Mobile no: 9234727702
E-mail: rrohitkumar335@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 309222715
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051621 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: DNS2051621
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: kislay kumar
Mother's Name: sarita kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Feb 2003 Nationality: India
Place of Birth: darbhanga Personal Identification Mark: black scar on side left hand
Blood Group: A + Address for Communication: bhudhnagra niwas near maharaja palace qurban road chandwara muzaffarpur qurban road chandwara muzaffarpur
State: Bihar Country: India
Pin: 842001 City/District: muzaffarpur
Mobile no: 9234727702 Telephone No. with STD code:
Aadhar Card No:542604436238 E-mail: rrohitkumar335@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: sudhir kumar mandal Relationship with candidate: son
Parents Date of Birth: 17 Nov 1972 Parent's/Guardian's Occupation/Designation: teaching
   
Office Address:
   
Address: marwari high school naeab road chandwara muzaffarpur marwari high school nawab road chandwara muzaffarpur
Country: India State: Bihar
City/District: muzaffarpur Pin: 842001
Tel: Mobile no.: 9431293244
Fax: Email: sudhirkumarmandal17@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: dav public school malighat muzaffarpur School: kc mount fort school aamgola muzaffarpur
City: muzaffarpur City: muzaffarpur
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: aamgola muzaffarpur
  Pin: 842001
  Contact Nos:
  Email: keshavkumar9431@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i will improve my english vocabulary by reading books like word power made easy and also I will start workout to keep myself fit
Why do you wish to join TMI?: this is the best maritime academy in India with the maximum training, knowledge and placement record and other reason is the degree I am getting from BITS PILANI
What are your hobbies?: cricket, gym, travelling
What are your strengths?: stronger, easy to grasp new things
What are your weaknesses?: i can have trouble asking for help
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 not uploaded
 
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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