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: DNS2051705 Name: Vishnu Kumar
  Address: Aryanagar Rupaideeh Gonda Village and Post Rupaideeh Aryanagar gonda
Telephone No.: 7985589830 Mobile no: 8957495446
E-mail: sanjuupadhyay8507@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 313037438
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051705 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: DNS2051705
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vishnu Kumar
Mother's Name: Shashikanti
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Nov 2002 Nationality: Indian
Place of Birth: Aryanagar Personal Identification Mark: Dark spot on head
Blood Group: O + Address for Communication: Aryanagar Rupaideeh Gonda Village and Post Rupaideeh Aryanagar gonda
State: Uttar Pradesh Country: India
Pin: 271122 City/District: Lucknow
Mobile no: 8957495446 Telephone No. with STD code: 7985589830
Aadhar Card No:589276396840 E-mail: sanjuupadhyay8507@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anjany Kumar Relationship with candidate: Father
Parents Date of Birth: 05 Jul 1983 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Aryanagar Rupaideeh Gonda Village and Post Rupaideeh Aryanagar gonda
Country: India State: Uttar Pradesh
City/District: Gonda Pin: 271122
Tel: Mobile no.: 7985589830
Fax: Email: vishnuupadhyay8507@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Aims international secondary School Gonda School: Aims international secondary School Gonda
City: Gonda City: Gonda
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Gonda uttar Pradesh
  Pin: 271001
  Contact Nos:
  Email: sanjuupadhyay8507@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By playing cricket and watching movies
Why do you wish to join TMI?: I wish to join TMI because of convincing demonstration of personal effect.
What are your hobbies?: Playing chess , watching movies and reading books
What are your strengths?: Quick learner, adaptability, team work,hard worker,
What are your weaknesses?: Afraid of failure, easily boared, discomfort when work is unfinished
How do you intend to meet the expenses of this program?: Own Resources,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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