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: DNS2052320 Name: Rishav Saha
  Address: BD 122, Salt Lake, kolkata 700064 BD 68, Salt Lake, kolkata 700064
Telephone No.: 033 Mobile no: 9830973785
E-mail: drrishavsaha731@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: 310786915
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052320 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: DNS2052320
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rishav Saha
Mother's Name: Samapti Saha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Mar 2002 Nationality: Indian
Place of Birth: kolkata Personal Identification Mark: cut mark on left arm
Blood Group: O + Address for Communication: BD 122, Salt Lake, kolkata 700064 BD 68, Salt Lake, kolkata 700064
State: West Bengal Country: India
Pin: 700064 City/District: kolkata
Mobile no: 9830973785 Telephone No. with STD code: 033
Aadhar Card No:864373588754 E-mail: drrishavsaha731@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: rajib saha Relationship with candidate: father
Parents Date of Birth: 12 Jan 1967 Parent's/Guardian's Occupation/Designation: captain
   
Office Address:
   
Address: Office 904, 9th Floor, Shubham Building, Rowdon Street Crossing, 1, Sarojini Naidu Sarani, Kolkata - 700 017 A202/203, Citi Point, J B Nagar, Andheri Kurla Road, Andheri East, Mumbai, Maharashtra 400059 Office No. 113, First Floor, Hemkunt Tower, 98, Nehru Place, New Delhi - 110 019
Country: India State: West Bengal
City/District: kolkata Pin: 700017
Tel: 03323597511 Mobile no.: 9804829725
Fax: Email: rajsona_saha@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: CBSE
School: D.P.S Megacity School: Bharatiya vidya bhavan
City: kolkata City: Kolkata
English %: 88 Board Roll No./Seat No.: 12638062
Aggregate Percentage: 94 School/College Code: 15555
  Centre code: 1764
  Address of School/College: Block - FA, Sector - III, Salt Lake City, Kolkata - 700097
  Pin: 700097
  Contact Nos: 03323351249
  Email: bgkv_kolkata@yahoo.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for competetive examinations
Why do you wish to join TMI?: To be a part of our family heritage of mariners
What are your hobbies?: football,swimming,cycling
What are your strengths?: leadership skills,
What are your weaknesses?: misunderstanding of situations
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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