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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: DNS2052496 |
Name: VISHAL KUMAR |
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Address: VILL PO PS SONBARSA SITAMARHI |
Telephone No.: 09119148384 |
Mobile no: 9119148384 |
E-mail: rupendra8084@gmail.com |
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Application fee payment details: |
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Payment Status: failure |
Payment Mode: Online |
Amount: ₹ 200 |
DD Number: - |
Issuing Bank: - |
Transaction Id: 311684757 |
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Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052496 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: VISHAL KUMAR |
Mother's Name: RANI KUMARI |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 25 Aug 2001 |
Nationality: INDIAN |
Place of Birth: SONBARSA |
Personal Identification Mark: MOLE ON CHEST |
Blood Group: O + |
Address for Communication: VILL PO PS SONBARSA SITAMARHI |
State: Bihar |
Country: India |
Pin: 843330 |
City/District: PATNA |
Mobile no: 9119148384 |
Telephone No. with STD code: 09119148384 |
Aadhar Card No:220284501603 |
E-mail: rupendra8084@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: UPENDRA KUMAR |
Relationship with candidate: father |
Parents Date of Birth: 19 Sep 1968 |
Parent's/Guardian's Occupation/Designation: teacher |
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Office Address: |
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Address: VILL PO PS SONBARSA SITAMARHI |
Country: India |
State: Bihar |
City/District: SITAMARHI |
Pin: 843330 |
Tel: |
Mobile no.: 8084996559 |
Fax: |
Email: vishalkunjeyan62288@gmail.com |
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Education and Academic Record :
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Class X: - |
Class XII: - |
Year of Passing: 2017 |
Year of Passing: 2019 |
Board: CBSE |
Board: CBSE |
School: sainik school kunjpura |
School: ROS PUBLIC SCHOOL |
City: karnal |
City: SITAMARHI |
English %: 95 |
Board Roll No./Seat No.: 7667941 |
Aggregate Percentage: 90 |
School/College Code: 0321 |
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Centre code: 0524 |
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Address of School/College: VILL PO PS SONBARSA
SITAMARHI |
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Pin: 843301 |
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Contact Nos: 09119148384 |
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Email: vishalkunjeyan62288@gmail.com |
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Aggregate Percentage: 75 |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
100 |
88 |
88 |
Chemistry |
100 |
65 |
65 |
Mathematics |
100 |
68 |
68 |
Physics, Chemistry & Mathematics combined Percentage: |
73.67 |
English |
100 |
79 |
79 |
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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 ?: playing football |
Why do you wish to join TMI?: renowned institute in field of merchant navy |
What are your hobbies?: PLAYING FOOTBALL |
What are your strengths?: honesty, discipline |
What are your weaknesses?: loose temper in short time |
How do you intend to meet the expenses of this program?: Own Resources |
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Review you documents: |
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 not uploaded
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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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