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: DNS2052758 Name: Manjeet kumar
  Address: Vpo Haminpur Teh Surajgarh District Jhunjhunu Rajasthan
Telephone No.: Mobile no: 7689899107
E-mail: mksp1999@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 312560492
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052758 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: DNS2052758
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Manjeet kumar
Mother's Name: Kavita Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jun 2000 Nationality: Indian
Place of Birth: Pilani Personal Identification Mark: A mole on neck
Blood Group: AB + Address for Communication: Vpo Haminpur Teh Surajgarh District Jhunjhunu Rajasthan
State: Rajasthan Country: India
Pin: 333031 City/District: Jhunjhunu
Mobile no: 7689899107 Telephone No. with STD code:
Aadhar Card No:673480098764 E-mail: mksp1999@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manbeer singh Relationship with candidate: Father
Parents Date of Birth: 17 Jul 1975 Parent's/Guardian's Occupation/Designation: Agriculture
   
Office Address:
   
Address: Vpo Haminpur Teh surajgarh District Jhunjhunu Rajasthan
Country: India State: Rajasthan
City/District: Jhunjhunu Pin: 333031
Tel: Mobile no.: 9929695710
Fax: Email: manisha7689899107@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: Rajasthan Board: Rajasthan
School: Rakesh academy sen sec school pilani School: Rakesh academy sen sec school Pilani
City: Pilani City: Pilani
English %: 66 Board Roll No./Seat No.: 2590922
Aggregate Percentage: 68 School/College Code: 1150009
  Centre code: 15142
  Address of School/College: Ward no 21 near waterworks loharu rode pilani
  Pin: 333031
  Contact Nos:
  Email: rasspilani@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 80 80
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 82.67
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 ?: I am reading again 11 th books physics and mathematics and going on small tour at chitorgarh
Why do you wish to join TMI?: My friend tell me about TMI ,He is now as training dack cadet in scorpio tankers
What are your hobbies?: Goin on tour and listening song
What are your strengths?: I can do wark hard to achieve success
What are your weaknesses?: Same time I am varid
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
 
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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