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: DNS2170874 Name: RICHPAL
  Address: KASHIPURA,DUGOLI JAEL,NAGAUR,RAJASTHAN
Telephone No.: Mobile no: 9509799500
E-mail: richpalgodara3629@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 428671344
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170874 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: DNS2170874
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RICHPAL
Mother's Name: BHAGAWATI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Apr 2001 Nationality: INDIAN
Place of Birth: INDIA Personal Identification Mark: A CUT MARK OB EYEBROW
Blood Group: AB + Address for Communication: KASHIPURA,DUGOLI JAEL,NAGAUR,RAJASTHAN
State: Rajasthan Country: India
Pin: 341023 City/District: NAGAUR
Mobile no: 9509799500 Telephone No. with STD code:
Aadhar Card No:497930678875 E-mail: richpalgodara3629@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BHAGIRATH MAL Relationship with candidate: FATHER
Parents Date of Birth: 01 Sep 1972 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: KASHIPURA,DUGOLI JAEL,NAGAUR,RAJASTHAN
Country: India State: Rajasthan
City/District: NAGAUR Pin: 341023
Tel: Mobile no.: 9509799500
Fax: Email: RICHPALGODARA3629@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Rajasthan
School: SHEKHAWATI INTERNATIONAL ACADEMY School: KOTA CAREEAR POINT
City: SIKAR City: KUCHAMANCITY
English %: 08 Board Roll No./Seat No.: 2672769
Aggregate Percentage: 74 School/College Code: 1190920
  Centre code: 19263
  Address of School/College: KUCHAMANCITY,NAGAUR,RAJASTHAN
  Pin: 341508
  Contact Nos: 09509799500
  Email: RICHPALGODARA3629@GMAIL.COM
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 75 75
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 77
English 100 84 84
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: AFTER 12 I STARTED COCHING FOR AIRFORCE AND NAVY NOW I WANT TO MAKE CAREEAR IN SEAFARE
Why do you wish to join TMI?: FOR GOOD PLACEMENT AND GOOD RECORD
What are your hobbies?: READING UNSUCCESFUL STORY
What are your strengths?: NEVER LOSS IN ANY FIELD
What are your weaknesses?: NONE
How do you intend to meet the expenses of this program?: Other - FARMERS
 
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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