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: DNS2052553 Name: SAMAUN HAQUE RANA
  Address: AT-BABHNI PO-MAHADEOPUR PS-PRANPUR DIST-KATIHAR DIST- KATIHAR
Telephone No.: Mobile no: 9006437945
E-mail: samaunhaquektr@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: 311858103
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052553 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: DNS2052553
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SAMAUN HAQUE RANA
Mother's Name: SAKILA AKHTAR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Mar 2001 Nationality: INDIAN
Place of Birth: BABHNI Personal Identification Mark: RIGHT HAND SMALL CUT
Blood Group: B + Address for Communication: AT-BABHNI PO-MAHADEOPUR PS-PRANPUR DIST-KATIHAR DIST- KATIHAR
State: Bihar Country: India
Pin: 854116 City/District: KATIHAR
Mobile no: 9006437945 Telephone No. with STD code:
Aadhar Card No:790855615740 E-mail: samaunhaquektr@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: NIZAMUL HAQUE Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1964 Parent's/Guardian's Occupation/Designation: business
   
Office Address:
   
Address: AT-BABHNI PO-MAHADEOPUR PS-PRANPUR DIST KATIHAR DIST-KATIHAR
Country: India State: Bihar
City/District: KATIHAR Pin: 854116
Tel: Mobile no.: 9934741151
Fax: Email: nijamulhaquektr@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: U M S MAHADEOPUR PRANPUR KATIHAR School: SUR TTULSI INTER COLLEGE KATIHAR
City: KATIHAR City: KATIHAR
English %: 36 Board Roll No./Seat No.: 20010134
Aggregate Percentage: 50 School/College Code: 94014
  Centre code: 1505
  Address of School/College: Sahisia, Katihar, Bihar 854107
  Pin: 854107
  Contact Nos:
  Email: samaunhaquektr0786@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 65 65
Mathematics 100 73 73
Physics, Chemistry & Mathematics combined Percentage: 68.67
English 100 61 61
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will take my time knowing about the ship
Why do you wish to join TMI?: tmi is the best maritime academy and i want to study in because is my goal
What are your hobbies?: carrom
What are your strengths?: my own self confidence
What are your weaknesses?: nothing
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 not uploaded 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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