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: DNS2051944 Name: HARSH RAJ
  Address: KARMIK NAGAR Q-NO 2B14 SARAIDHELA DHANBAD,JHARKHAND KARMIK NAGAR Q-NO 2B14 SARAIDHELA DHANBAD
Telephone No.: Mobile no: 9110101284
E-mail: hraj46572@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: 309812771
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051944 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2051944
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HARSH RAJ
Mother's Name: RITA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Oct 2000 Nationality: INDIAN
Place of Birth: JHARKHAND Personal Identification Mark: CUT MARK ON RIGHT EYEBROW
Blood Group: A + Address for Communication: KARMIK NAGAR Q-NO 2B14 SARAIDHELA DHANBAD,JHARKHAND KARMIK NAGAR Q-NO 2B14 SARAIDHELA DHANBAD
State: Jharkhand Country: India
Pin: 826004 City/District: DHANBAD
Mobile no: 9110101284 Telephone No. with STD code:
Aadhar Card No:338008876388 E-mail: hraj46572@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ARUN KUMAR SINGH Relationship with candidate: father
Parents Date of Birth: 07 Apr 1966 Parent's/Guardian's Occupation/Designation: GOVERMENT JOB
   
Office Address:
   
Address: sp office palamu sp office palamu
Country: India State: Jharkhand
City/District: palamu Pin: 822101
Tel: Mobile no.: 8789941550
Fax: Email: as1787721@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Bihar
School: DAV PUBLIC SCHOOL KOYLA NAGAR DHANBAD School: RAM DAYAL SHUBHNARAYAN S.S SCHOOL KAUSHAL COMPLEX BARA THELPA CHAPRA
City: DHANBAD City: CHAPRA
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Centre code:
  Address of School/College: KAUSHAL COMPLEX BARA THELPA CHAPRA
  Pin: 841301
  Contact Nos:
  Email: rsintercollege00@yahoo.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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2014 cricket under 14 2 times man of the match
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend my time in improving my skills of speaking,reading ,bodylanguage. I will improve my confidence and i will prepare myself to sustain in the feild of merchant navy.
Why do you wish to join TMI?: Tolani is the best college for this sector and it will give me more opportunity to make my dream fulfill.
What are your hobbies?: playing cricket and football
What are your strengths?: My family and my knowladge.
What are your weaknesses?: i usually take so mch time to take decisions.
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 ________________

 
Print Summary and Application Form