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: DNS2052345 Name: ADARSH KUMAR PATHAK
  Address: Indrapuri Road No .5 house no.44, keshari nagar Patna
Telephone No.: 7033775683 Mobile no: 7033775683
E-mail: adarshpathak1123@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: 310893392
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052345 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: DNS2052345
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ADARSH KUMAR PATHAK
Mother's Name: SIMPLE PATHAK
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Jul 2001 Nationality: INDIAN
Place of Birth: PATNA Personal Identification Mark: MARK ON MY RIGHT EYE CORNER
Blood Group: O - Address for Communication: Indrapuri Road No .5 house no.44, keshari nagar Patna
State: Bihar Country: India
Pin: 800024 City/District: Patna
Mobile no: 7033775683 Telephone No. with STD code: 7033775683
Aadhar Card No: E-mail: adarshpathak1123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJ KUMAR PATHAK Relationship with candidate: FATHER
Parents Date of Birth: 10 Jun 1980 Parent's/Guardian's Occupation/Designation: BANKER
   
Office Address:
   
Address: BIHAR PATNA
Country: India State: Bihar
City/District: PATNA Pin: 800001
Tel: Mobile no.: 9771446564
Fax: Email: adarshpathak1123@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Bihar
School: St.Dominic savios high school School: Mahavir Mundeshwari School
City: PATNA City: PATNA
English %: 57 Board Roll No./Seat No.: 20010063
Aggregate Percentage: 58 School/College Code: 23067
  Centre code: 23067
  Address of School/College: Upraban, Nawadah
  Pin: 805113
  Contact Nos:
  Email: 23067@bseb.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 71 71
Mathematics 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 73
English 100 82 82
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning diffrent languages
Why do you wish to join TMI?: Because Tmi is indias best merchant navy college ,for me studying in college like tolani is very big thing,and its placement is also very good ,.
What are your hobbies?: Learning diffrent languages and playing basketball
What are your strengths?: My biggest strength is Dedication,.the primary factor behind a successfull person is dedication ,
What are your weaknesses?: I focus too much on details.
How do you intend to meet the expenses of this program?: Own Resources,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