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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2170826 Name: Raju Kumar
  Address: Vidya Nagar , West Road Number 3 Ahead DAV SWARNREKHA Public School, Harmu, Ranchi
Telephone No.: Mobile no: 9546151269
E-mail: raju.251003@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: 427146924
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170826 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 - 2021

 
  Dossier ID: DNS2170826
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Raju Kumar
Mother's Name: Madhuri Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: INDIAN
Place of Birth: Ranchi Personal Identification Mark: Mole below lips
Blood Group: A + Address for Communication: Vidya Nagar , West Road Number 3 Ahead DAV SWARNREKHA Public School, Harmu, Ranchi
State: Jharkhand Country: India
Pin: 834002 City/District: Ranchi
Mobile no: 9546151269 Telephone No. with STD code:
Aadhar Card No:476865123487 E-mail: raju.251003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj Kumar Relationship with candidate: Father
Parents Date of Birth: 05 May 1971 Parent's/Guardian's Occupation/Designation: Surveyor and loss assessor
   
Office Address:
   
Address: Vidya nagar Harmu, Ranchi
Country: India State: Jharkhand
City/District: Ranchi Pin: 834002
Tel: Mobile no.: 9546151269
Fax: Email: raju.251003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: St Francis school School: PRIMUS PUBLIC SCHOOL
City: Ranchi City: MUZAFFARPUR
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: SOUTH OF SHIV MANDIR, KHABRA
  Pin: 843146
  Contact Nos:
  Email: raju.251003@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
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
01/2018 NATIONAL CYBER OLYMPIAD INTERNATIONAL 223
10/2017 INTERNATIONAL ENGLISH OLYMPIAD INTERNATIONAL 659
02/2017 NATIONAL SCIENCE OLYMPIAD ZONAL 150
02/2016 NATIONAL SCIENCE OLYMPIAD ZONAL 206
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WANT TO SPEND QUALITY TIME WITH MY FAMILY. ALSO I WANT TO LEARN SOME BASIC LIFE SKILLS LIKE SWIMMING AND DRIVING.
Why do you wish to join TMI?: TMI IS SIMPLY BEST AT WHAT IT DOES. I DEFINITELY WANT TO BE A PART OF IT.
What are your hobbies?: READING AND COOKING
What are your strengths?: TRUSTWORTHY AND FOCUSED
What are your weaknesses?: SELF CRITIC AND DETAIL ORIENTED
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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