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: DNS2051709 Name: Jitesh kumar
  Address: Qtr no 1249pasitand Near water tank chaitudih malkera
Telephone No.: Mobile no: 6203040600
E-mail: jit95349534@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309404938
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051709 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: DNS2051709
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Jitesh kumar
Mother's Name: Mamta Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Oct 2002 Nationality: Indian
Place of Birth: Dhanbad Personal Identification Mark: Aadhaar card
Blood Group: B + Address for Communication: Qtr no 1249pasitand Near water tank chaitudih malkera
State: Jharkhand Country: India
Pin: 828304 City/District: Dhanbad
Mobile no: 6203040600 Telephone No. with STD code:
Aadhar Card No:464587211464 E-mail: jit95349534@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Binod kumar Relationship with candidate: Father
Parents Date of Birth: 02 Sep 1986 Parent's/Guardian's Occupation/Designation: Clerk
   
Office Address:
   
Address: Tata sijua dhanbad Sijua
Country: India State: Jharkhand
City/District: Dhanbad Pin: 828113
Tel: Mobile no.: 8935880630
Fax: Email: jit96349534@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DAV sijua School: DAV SIJUA
City: Dhanbad City: Dhanbad
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Centre code:
  Address of School/College: Sijua
  Pin: 828113
  Contact Nos:
  Email: jit95349534@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 ?: Preparation of exam
Why do you wish to join TMI?: Best college
What are your hobbies?: Playing games
What are your strengths?: Be happy
What are your weaknesses?: Friends
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 Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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