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: DNS2170858 Name: Srinjoy Roy
  Address: 327 ANNAPURNA APARTMENT HRIDAYPUR STATION ROAD,HRIDAYPUR NEAR KAILASHNAGAR PUKUR, BARASAT
Telephone No.: Mobile no: 8240575570
E-mail: srinjoy072@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: 437610593
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170858 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: DNS2170858
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Srinjoy Roy
Mother's Name: Mantu Roy
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Feb 2003 Nationality: Indian
Place of Birth: Siliguri Personal Identification Mark: Birth mark on the left leg
Blood Group: A + Address for Communication: 327 ANNAPURNA APARTMENT HRIDAYPUR STATION ROAD,HRIDAYPUR NEAR KAILASHNAGAR PUKUR, BARASAT
State: West Bengal Country: India
Pin: 700127 City/District: Kolkata
Mobile no: 8240575570 Telephone No. with STD code:
Aadhar Card No:220474145853 E-mail: srinjoy072@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Surajit Roy Relationship with candidate: Father
Parents Date of Birth: 05 Jan 1975 Parent's/Guardian's Occupation/Designation: Government service
   
Office Address:
   
Address: SIB office, Knc road Udaychal, Barasat
Country: India State: West Bengal
City/District: Kolkata Pin: 700127
Tel: Mobile no.: 7686905258
Fax: 03325523216 Email: Surajit1974roy@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SUDHIR Memorial Institute School: Kyalani Public School
City: Kolkata City: Kolkata
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: Moinagadi, Noapara, Barasat, Kolkata
  Pin: 700127
  Contact Nos: 32972954
  Email: kpspublicschool@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
07/2019 India International Science Festival National level active participant
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: -I would like to spend my leisure time by swimming and exercising to keep myself mentally fit and physically strong -I also like spend time by studying and gathering more knowledge about merchant navy.
Why do you wish to join TMI?: As the college is very reputed and well known in the shipping industry. Also it has a huge campus with all kinds of outdoor gaming facilities and learned that the food served in the college is delicious and healthy.
What are your hobbies?: Swimming and playing football.
What are your strengths?: I am a quick learner and i like making new friends.
What are your weaknesses?: I like helping others but at times it has boomerang upon me.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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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