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: DNS2170935 Name: Priyanshu Bharti
  Address: Manjhaul-2 ward -7 Begusarai Bihar S/O Avinash Bharti manjhaul-2 ward-7 panchmahla tola , manjhaul Begusarai
Telephone No.: Mobile no: 8271035533
E-mail: bhartipriyanshu2004@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425638812
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170935 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: DNS2170935
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Priyanshu Bharti
Mother's Name: Rani kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jun 2004 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: Mole on face
Blood Group: O + Address for Communication: Manjhaul-2 ward -7 Begusarai Bihar S/O Avinash Bharti manjhaul-2 ward-7 panchmahla tola , manjhaul Begusarai
State: Bihar Country: India
Pin: 851127 City/District: Begusarai
Mobile no: 8271035533 Telephone No. with STD code:
Aadhar Card No: E-mail: bhartipriyanshu2004@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Avinash Bharti Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Manjhaul-2 ward -7 Begusarai Bihar Avinash Bharti manjhaul-2 ward-7 panchmahla tola , manjhaul Begusarai
Country: India State: Bihar
City/District: Begusarai Pin: 851127
Tel: Mobile no.: 6201596432
Fax: Email: bhartipriyanshu2004@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: River Valley School Begusarai School: MS college manjhaul
City: Begusarai City: Manjhaul
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 61 School/College Code:
  Centre code:
  Address of School/College: Ms college manjhaul near bsnl telephone exchange
  Pin: 851127
  Contact Nos: 06201596432
  Email: principal@mscollege.co.in
  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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am spending time in preparation for IMU cet exam
Why do you wish to join TMI?: Placement is excellence in TMI and TMI has a great faculty
What are your hobbies?: To playing cricket in free time
What are your strengths?: My strength is patience and discipline
What are your weaknesses?: I focus too much on the details
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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