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: DNS2051954 Name: Rahul jaiswal
  Address: SECL DHARAM COLONEY M/62 CHHAL Post-Chandrasekharpur ,edu, dist-raigarh TH-dharamjaigarh
Telephone No.: Mobile no: 9285382903
E-mail: rahuljaiswal0653@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 322635072
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051954 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: DNS2051954
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rahul jaiswal
Mother's Name: Sarita jaiswal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Apr 2002 Nationality: Indian
Place of Birth: Kharsia Personal Identification Mark: Mole on centre of nose
Blood Group: O + Address for Communication: SECL DHARAM COLONEY M/62 CHHAL Post-Chandrasekharpur ,edu, dist-raigarh TH-dharamjaigarh
State: Chattisgarh Country: India
Pin: 496665 City/District: Raigarh
Mobile no: 9285382903 Telephone No. with STD code:
Aadhar Card No:763148580768 E-mail: rahuljaiswal0653@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ramlal jaiswal Relationship with candidate: Father
Parents Date of Birth: 19 Jul 1968 Parent's/Guardian's Occupation/Designation: SECL employee
   
Office Address:
   
Address: SECL DHARAM COLONEY M/62 CHHAL Chandrasekharpur edu
Country: India State: Chattisgarh
City/District: Raigarh Pin: 496665
Tel: Mobile no.: 9399092934
Fax: Email: ramlaljaiswal0a@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DAV public school SECL CHHAL School: DAV public school SECL CHHAL
City: Nawapara CHHAL City: Nawapara CHHAL
English %: 71 Board Roll No./Seat No.: 12663629
Aggregate Percentage: 63 School/College Code: 15052
  Centre code: 1873
  Address of School/College: SECL CHHAL DISTT. RAIGARH CHHATTISGARH for
  Pin: 496665
  Contact Nos: 277707
  Email: davchhal2007@rediffmail.com
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 89 89
Chemistry 100 92 92
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 85.67
English 100 81 81
   
IMU CET Application Number: CET20U87012  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2018 Volleyball match School level Runner
11/2018 Football match School level 2nd position
01/2014 6th all India maths science talent examination National level 4th position
01/2015 National handwriting and colouring contest 2014 National level Runner
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for imucet and giving sponsorship test
Why do you wish to join TMI?: Good placement and supportive environment
What are your hobbies?: Making friends
What are your strengths?: I am a good multitasker.In my school.i was a part of Cricket and volleyball.i also organised school cultural festivals But I still managed to get good marks/grades all through my final exam.
What are your weaknesses?: My inability to say no puts me under a lot of stress at times.however I am learning to say No so that I can focus more productive tasks
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 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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