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: DNS2170936 Name: VAIBHAV SINGH
  Address: S/o sanjay singh Vill post kharari Dist- rohtas
Telephone No.: 09801980812 Mobile no: 9801980812
E-mail: vaibhavsingh172170@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 422672361
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170936 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: DNS2170936
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VAIBHAV SINGH
Mother's Name: SANGITA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Feb 2004 Nationality: Indian
Place of Birth: Kharari Personal Identification Mark: Mole on right hand
Blood Group: O + Address for Communication: S/o sanjay singh Vill post kharari Dist- rohtas
State: Bihar Country: India
Pin: 802215 City/District: Nokha
Mobile no: 9801980812 Telephone No. with STD code: 09801980812
Aadhar Card No:745461607181 E-mail: vaibhavsingh172170@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay singh Relationship with candidate: Father
Parents Date of Birth: 01 Feb 1978 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Vill kharari Post kharari Dist rohtas
Country: India State: Bihar
City/District: Dist rohtas Pin: 802215
Tel: Mobile no.: 9801980812
Fax: Email: vaibhavsingh172170@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: H. M. Mahuli School: Shershah college sasaram
City: Sasaram City: Sasaram
English %: 69 Board Roll No./Seat No.: 20010479
Aggregate Percentage: 75 School/College Code: 15008
  Centre code: 801115
  Address of School/College: Sasaram rohtas
  Pin: 821115
  Contact Nos:
  Email: vaibhavsingh172170@gmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 61 61
Chemistry 100 46 46
Mathematics 100 82 82
Physics, Chemistry & Mathematics combined Percentage: 63
English 100 79 79
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing to imu cet and tmi exam
Why do you wish to join TMI?: Because it is best
What are your hobbies?: Play, Visiting
What are your strengths?: I am feel comfortable everywhere,
What are your weaknesses?: Nothing
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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