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: DNS2051767 Name: SHUBHAM SINGH
  Address: C/O JAGDEEP RAI POSTAL PARK INDIRA NAGAR ROAD NO 7A PATNA BIHAR
Telephone No.: Mobile no: 8709095325
E-mail: shubham.singh2621@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309521845
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051767 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: DNS2051767
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHUBHAM SINGH
Mother's Name: SIMA SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Dec 2001 Nationality: INDIAN
Place of Birth: PATNA Personal Identification Mark: SCAR ON HEAD
Blood Group: B + Address for Communication: C/O JAGDEEP RAI POSTAL PARK INDIRA NAGAR ROAD NO 7A PATNA BIHAR
State: Bihar Country: India
Pin: 800001 City/District: PATNA
Mobile no: 8709095325 Telephone No. with STD code:
Aadhar Card No:617998719171 E-mail: shubham.singh2621@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: GUPTESHWAR SINGH Relationship with candidate: FATHER
Parents Date of Birth: 02 Feb 1966 Parent's/Guardian's Occupation/Designation: GOVERNMENT JOB
   
Office Address:
   
Address: VISVESVARAYA BHAVAN BAILEY ROAD RAJBANSI NAGAR PATNA BIHAR
Country: India State: Bihar
City/District: PATNA Pin: 800015
Tel: Mobile no.: 9973464866
Fax: Email: guptransport@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: ISCE Board: CBSE
School: LOHIA NAGAR MOUNT CARMEL HIGH SCHOOL School: TERESA INTERNATIONAL ACADEMY
City: PATNA City: PATNA
English %: 74 Board Roll No./Seat No.: 7641563
Aggregate Percentage: 79 School/College Code: 50365
  Centre code: 7145
  Address of School/College: KHANPURA BHAGWANGUNJ
  Pin: 804454
  Contact Nos:
  Email: tiapatna@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 77 77
Chemistry 100 63 63
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 66.67
English 100 81 81
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: SPENDING MY TIME TO GYM
Why do you wish to join TMI?: AS IT IS NO 1 INSTITUTE FOR MARINE IN INDIA
What are your hobbies?: TRAVELLING
What are your strengths?: I HAVE PATIENCE HARD LABOUR
What are your weaknesses?: I AM VERY COMPETITIVE.
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
 
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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