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: DNS2051715 Name: Singh Omprakash Manojkumar
  Address: 603 BLDG No 2 Roshan Bldg SRA CHS LTD Oshiwara Link road Behram Baug Jogeshwari West Mumbai Maharashtra 400053 603 BLDG NO 2 Roshan bldg SRA CHS LTD Oshiwara LINK road behram baug Jogeshwari west mumbai maharashtra 400053
Telephone No.: Mobile no: 9819767872
E-mail: ommsingh2001@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 309419720
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051715 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: DNS2051715
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Singh Omprakash Manojkumar
Mother's Name: Heeradevi Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jun 2001 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: Right pinky finger
Blood Group: O + Address for Communication: 603 BLDG No 2 Roshan Bldg SRA CHS LTD Oshiwara Link road Behram Baug Jogeshwari West Mumbai Maharashtra 400053 603 BLDG NO 2 Roshan bldg SRA CHS LTD Oshiwara LINK road behram baug Jogeshwari west mumbai maharashtra 400053
State: Maharashtra Country: India
Pin: 400053 City/District: Mumbai
Mobile no: 9819767872 Telephone No. with STD code:
Aadhar Card No:302830861615 E-mail: ommsingh2001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj Singh Relationship with candidate: Father
Parents Date of Birth: 10 Jul 1980 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Third Floor Leela buisness Park Marol Andheri Kurla Road Andheri East mumbai Maharashtra 400059 Third Floor Leela Buisness Park Marol Andheri Kurla Road Andheri East Mumbai Maharashtra 400059
Country: India State: Maharashtra
City/District: Mumbai Pin: 400059
Tel: Mobile no.: 9619495153
Fax: Email: manoj0840singh@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: Mvm Educational campus School: Mithibai College
City: mumbai City: Mumbai
English %: 61 Board Roll No./Seat No.: M065544
Aggregate Percentage: 83 School/College Code: J3203004
  Centre code: 3627
  Address of School/College: bhaktivedenta swami marg gulmohar road suvarna nagar vileparle west mumbai maharashtra 400056
  Pin: 400056
  Contact Nos:
  Email: principal@mithibai.ac.in
  Aggregate Percentage: 53
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 44 44
Chemistry 100 42 42
Mathematics 100 35 35
Physics, Chemistry & Mathematics combined Percentage: 40.33
English 100 68 68
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for IMUCET and Sponsorship exams
Why do you wish to join TMI?: This is my Dream college.At present this is the best maritime college in India with the maximum knowledge.it is halfway to success.
What are your hobbies?: swimming and yoga
What are your strengths?: Optimistic,patient and determined
What are your weaknesses?: Stage fear and Disorganised
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 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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