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: DNS2052537 Name: Deepak Kumar
  Address: Rc 552, Vandana Enclave near ram kaur inter college khora colony
Telephone No.: Mobile no: 8882229838
E-mail: deepakdevkumar5@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 311824198
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052537 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: DNS2052537
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Deepak Kumar
Mother's Name: Phoolan Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Feb 2001 Nationality: Indian
Place of Birth: bihar Personal Identification Mark: black spot on right hand
Blood Group: B + Address for Communication: Rc 552, Vandana Enclave near ram kaur inter college khora colony
State: Uttar Pradesh Country: India
Pin: 201001 City/District: Ghaziabad
Mobile no: 8882229838 Telephone No. with STD code:
Aadhar Card No:210499773264 E-mail: deepakdevkumar5@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dev Narayan Gupta Relationship with candidate: father
Parents Date of Birth: 05 Jan 1970 Parent's/Guardian's Occupation/Designation: Contractor
   
Office Address:
   
Address: Ahluwalia Contracts Pvt Ltd. A 177, Pocket A okhla phase 1
Country: India State: Delhi
City/District: okhla Pin: 110020
Tel: Mobile no.: 9899168403
Fax: Email: deepakkumar5@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Bal Bharati public school School: Bal Bharati public school
City: noida City: noida
English %: 76 Board Roll No./Seat No.: 5857957
Aggregate Percentage: 74 School/College Code: 09208
  Centre code: 5763
  Address of School/College: Plot No.77, Mandir Wali Ln, Block C, JalVayu Vihar, Sector 21, Noida, Uttar Pradesh 201301
  Pin: 201301
  Contact Nos:
  Email: asha.prabhakar@balbharati.org
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 70 70
Chemistry 100 68 68
Mathematics 100 56 56
Physics, Chemistry & Mathematics combined Percentage: 64.67
English 100 80 80
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2017 hockey tournament school level participation
10/2016 hockey tournament All India CBSE Zone participation
11/2015 hockey tournament school level runners up
10/2014 hockey tournament All India CBSE East Zone participation
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Will be prepare for entrance examination.
Why do you wish to join TMI?: No doubt, It is one of the best Institute.
What are your hobbies?: playing cricket and reading books
What are your strengths?: Self Believe
What are your weaknesses?: .
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 Class XII admit card Class XII marksheet
 
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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