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: DNS2171125 Name: Mithlesh kumar
  Address: AT- Bela PO-Shobhanpur katoria PS-Amarpur Dis-Banka Bihar AT- Bela PO-Shobhanpur katoria PS-Amarpur Dis-Banka Bihar
Telephone No.: Mobile no: 9508456167
E-mail: mithleshkumarkbt@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2171125 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: DNS2171125
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mithlesh kumar
Mother's Name: Nirmala Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Apr 2004 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: A MOLe on check
Blood Group: O + Address for Communication: AT- Bela PO-Shobhanpur katoria PS-Amarpur Dis-Banka Bihar AT- Bela PO-Shobhanpur katoria PS-Amarpur Dis-Banka Bihar
State: Bihar Country: India
Pin: 813101 City/District: Banka
Mobile no: 9508456167 Telephone No. with STD code:
Aadhar Card No:991682153915 E-mail: mithleshkumarkbt@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bipin Rana Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1974 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: AT- Bela PO-Shobhanpur katoria PS-Amarpur Dis-Banka Bihar At- Bela PO-Shobhanpur katoria PS-Amarpur Dis-Banka Bihar
Country: India State: Bihar
City/District: Banka Pin: 813101
Tel: Mobile no.: 9990204979
Fax: Email: mk9508456167@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Bihar Board: Bihar
School: CMS High school shahpur Banka Bihar School: CMS High school shahpur Banka Bihar
City: Amarpur City: Amarpur
English %: 71 Board Roll No./Seat No.: 21010064
Aggregate Percentage: 68 School/College Code: 72066
  Centre code: 72081
  Address of School/College: At-Shahpur PO-Shobhanpur katoria PS-Amarpur Dis-Banka Bihar
  Pin: 813101
  Contact Nos:
  Email: mithleshkumarkbt@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 61 61
Mathematics 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 70.67
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will preparation for IMU CET
Why do you wish to join TMI?: TMI is the best institute for pre sea training and TMI providing very good company sponsorship so I am wish to join TMI
What are your hobbies?: Mobile photography
What are your strengths?: I am an honest person, I like trying new things,I am flexible with adoption new ideas
What are your weaknesses?: I take too many responsibility on me due to which I fail to focus in single task , I am too much focused and sometimes it is affect on my health
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

 

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Date ________________

 
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