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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: DNS2052833 |
Name: ROHIN SINGH |
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Address: HNO-45,STREETNO-22 SADAR BAZAR,JALANDHAR CANTT,JALANDHAR |
| Telephone No.: 9041537685 |
Mobile no: 9041537685 |
| E-mail: ROHIN65@GMAIL.COM |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 312712727 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052833 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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___________________ |
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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: ROHIN SINGH |
| Mother's Name: KIRAN DEVI |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 10 Nov 2002 |
Nationality: INDIA |
| Place of Birth: RAJWAL |
Personal Identification Mark: NIL |
| Blood Group: O + |
Address for Communication: HNO-45,STREETNO-22 SADAR BAZAR,JALANDHAR CANTT,JALANDHAR |
| State: Punjab |
Country: India |
| Pin: 144005 |
City/District: JALANDHAR CANTT |
| Mobile no: 9041537685 |
Telephone No. with STD code: 9041537685 |
| Aadhar Card No:798012348032 |
E-mail: ROHIN65@GMAIL.COM |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: MOHINDER SINGH |
Relationship with candidate: FATHER |
| Parents Date of Birth: 22 Jun 1972 |
Parent's/Guardian's Occupation/Designation: EX-SEVICEMAN |
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| Office Address: |
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| Address: HNO-45,STREETNO-22 SADAR BAZAR,JALANDHAR CANTT,JALANDHAR |
| Country: India |
State: Punjab |
| City/District: JALANDHAR CANTT |
Pin: 144005 |
| Tel: |
Mobile no.: 9463274948 |
| Fax: |
Email: ROHINTHAKUR7@GMAIL.COM |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2018 |
Year of Passing: 2020 |
| Board: CBSE |
Board: CBSE |
| School: KV4 JRC |
School: KV4 JRC |
| City: JALANDHAR |
City: JALANDHAR |
| English %: 68 |
Board Roll No./Seat No.: |
| Aggregate Percentage: 61 |
School/College Code: |
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Centre code: |
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Address of School/College: JALANDHAR CANTT |
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Pin: 144005 |
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Contact Nos: 9041537685 |
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Email: ROHIN65@GMAIL.COM |
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Aggregate Percentage: |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
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| Chemistry |
100 |
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| Mathematics |
100 |
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| Physics, Chemistry & Mathematics combined Percentage: |
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| English |
100 |
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| IMU CET Application Number: |
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| Sports & Extra Curricular Activities: |
| Achievements in Sports and Extra Curricular Activities |
| MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
| 07/2015 |
FOOTBALL |
NATIONAL |
THIRD |
| 05/2019 |
FOOTBAL |
NATIONAL |
THIRD |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: I SPEEND MY TIME WITH COACHING OF IMU CET |
| Why do you wish to join TMI?: IT IS BEST institute |
| What are your hobbies?: I LIKE TO WORK IN TEAM |
| What are your strengths?: MY STRENGHT IS VERSATILITY |
| What are your weaknesses?: THAT I TRUST FASTLY |
| How do you intend to meet the expenses of this program?: Own Resources |
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| Review you documents: |
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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 not uploaded
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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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