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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)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2052238 |
Name: Nitesh kumar |
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Address: Goraur,Nalanda,bihar Rajgir, Nalanda,Bihar |
| Telephone No.: |
Mobile no: 9829706750 |
| E-mail: niteshkr91164@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 310609713 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052238 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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| Date ________________ |
Date ________________ |
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| 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. |
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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
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| Applicant's Personal Information: |
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| Full Name as on Class XII Marksheet/Pass Certificate: Nitesh kumar |
| Mother's Name: MANJU KUMARI |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 08 Oct 2002 |
Nationality: Indian |
| Place of Birth: Rajgir |
Personal Identification Mark: Cut off Mark on right hand ring finger |
| Blood Group: AB + |
Address for Communication: Goraur,Nalanda,bihar Rajgir, Nalanda,Bihar |
| State: Bihar |
Country: India |
| Pin: 803116 |
City/District: Nalanda |
| Mobile no: 9829706750 |
Telephone No. with STD code: |
| Aadhar Card No:467257754342 |
E-mail: niteshkr91164@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Bhushan Prasad |
Relationship with candidate: Father |
| Parents Date of Birth: 12 Feb 1976 |
Parent's/Guardian's Occupation/Designation: Teacher |
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| Office Address: |
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| Address: Goraur, Nalanda,bihar Rajgir, Nalanda, bihar |
| Country: India |
State: Bihar |
| City/District: Nalanda |
Pin: 803116 |
| Tel: |
Mobile no.: 9431813383 |
| Fax: |
Email: bhu9431@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2018 |
Year of Passing: 2020 |
| Board: Bihar |
Board: Bihar |
| School: High School laranpur Nalanda |
School: High school |
| City: Laranpur Nalanda |
City: Gaya |
| English %: 63 |
Board Roll No./Seat No.: 20010037 |
| Aggregate Percentage: 66 |
School/College Code: 21182 |
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Centre code: 21182 |
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Address of School/College: Khudai sarbahada khijarasary gaya |
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Pin: 804135 |
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Contact Nos: 9829706750 |
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Email: krnitishk@gmail.com |
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Aggregate Percentage: 73 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
71 |
71 |
| Chemistry |
100 |
62 |
62 |
| Mathematics |
100 |
61 |
61 |
| Physics, Chemistry & Mathematics combined Percentage: |
64.67 |
| English |
100 |
80 |
80 |
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| IMU CET Application Number: |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: At home for preparation imu vet |
| Why do you wish to join TMI?: Because it was good institute in merchant Navy |
| What are your hobbies?: Playing chess |
| What are your strengths?: Interested in computer science well known all about it |
| What are your weaknesses?: More talking |
| How do you intend to meet the expenses of this program?: Own Resources,Bank Loan |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card
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Class XII marksheet
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| 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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