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: DNS2170985 Name: SHIVAM KUMAR
  Address: MOKAMA MOLDIYAR TOLA NETAJEE ROAD WARD NO.11
Telephone No.: Mobile no: 9334030970
E-mail: shivamkrmka2002@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: 422657385
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170985 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: DNS2170985
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHIVAM KUMAR
Mother's Name: PUSHPA SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2002 Nationality: INDIAN
Place of Birth: MOKAMA Personal Identification Mark: MOLE ON CHIN
Blood Group: B + Address for Communication: MOKAMA MOLDIYAR TOLA NETAJEE ROAD WARD NO.11
State: Bihar Country: India
Pin: 803302 City/District: PATNA
Mobile no: 9334030970 Telephone No. with STD code:
Aadhar Card No:633134497232 E-mail: shivamkrmka2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: CHANDRASHEKHAR SINGH Relationship with candidate: FATHER
Parents Date of Birth: 15 Jan 1970 Parent's/Guardian's Occupation/Designation: PRIVATE SERVICE
   
Office Address:
   
Address: EXHIBITION ROAD PATNA
Country: India State: Bihar
City/District: PATNA Pin: 800001
Tel: 07004686352 Mobile no.: 7004686352
Fax: Email: css.mok@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: MP AND EV ENGLISH MEDIUM School: PTSJM S VIDYA MANDIR
City: VIZAG City: RAJGIR
English %: 85 Board Roll No./Seat No.: 22635741
Aggregate Percentage: 65 School/College Code: 65136
  Centre code: 6626
  Address of School/College: HASANPUR RAJGIR
  Pin: 803116
  Contact Nos:
  Email: ptjmsvmandir@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 76 76
Mathematics 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 70.67
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 ?: After successful completion of class 12th i started preparing for IMUCET and sponsorship exams.I also started indulging in various physical activities to keep myself physically as well as mentally fit.Improving my communication skills was another matter of concern for me and continuously working on it helped me out
Why do you wish to join TMI?: Tolani maritime institute is was one of the best maritime training institute and it has a well known reputation It is not only best in terms of academics but it also tends to inbuilt various skills required to be an officer such as leadership qualities punctuality team spirit and most crucial things discipline.Tolani maritime institute also has a ship in campus which gives hands on experience to cadets.academics.Studying in this institute will be one of my biggest achievements in my life
What are your hobbies?: I am fond of reading books playing cricket and singing
What are your strengths?: I can easily cooperate with everyone
What are your weaknesses?: Communication skills is the area where I would like to improve myself
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate Class X marksheet School leaving certificate Class XII admit card 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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