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: DNS2052350 Name: Onkar Deori
  Address: Phatikachowa abhyapuria gaon Dibrugarh, Assam
Telephone No.: 9678248503 Mobile no: 8402078386
E-mail: onkardeori0@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052350 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: DNS2052350
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Onkar Deori
Mother's Name: Jyotsna Deori
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Sep 2002 Nationality: Indian
Place of Birth: Kurukani Personal Identification Mark: No
Blood Group: AB + Address for Communication: Phatikachowa abhyapuria gaon Dibrugarh, Assam
State: Assam Country: India
Pin: 785675 City/District: Dibrugarh
Mobile no: 8402078386 Telephone No. with STD code: 9678248503
Aadhar Card No:831573364987 E-mail: onkardeori0@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anil Deori Relationship with candidate: Father
Parents Date of Birth: 01 Dec 1965 Parent's/Guardian's Occupation/Designation: Government Employee
   
Office Address:
   
Address: S P Office,Boarder Brunch,Sonari Charaideo,Assam
Country: India State: Assam
City/District: Dibrugarh Pin: 785690
Tel: Mobile no.: 9678248503
Fax: Email: anilkumardeori2019@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Assam Board: Assam
School: Moran Public High School School: Salt Brook Academy
City: Moran City: Dibrugarh
English %: 92 Board Roll No./Seat No.: 20224
Aggregate Percentage: 90 School/College Code: 091950
  Centre code: 0449
  Address of School/College: Boiragimath,Dibrugarh,Assam
  Pin: 786003
  Contact Nos:
  Email: saltbrookacademydibrugarh@gmail.com
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 74 74
Mathematics 100 82 82
Physics, Chemistry & Mathematics combined Percentage: 79.67
English 100 73 73
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By spending time with family and little bit of study
Why do you wish to join TMI?: As this is one of the best institute for this perticular line and it has a very good record of placement
What are your hobbies?: driving
What are your strengths?: can adapt to any situation,hardworking
What are your weaknesses?: cannot mugup the notes from books,trust others easily
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

 

___________________

Date ________________

 
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