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: DNS2171214 Name: Ayush Kumar Singh
  Address: New Kishoreganj Road no. 6/2 Harmu road
Telephone No.: Mobile no: 6201860746
E-mail: sulekhasingh6667@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425131423
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2171214 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: DNS2171214
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ayush Kumar Singh
Mother's Name: Sulekha Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Jul 2004 Nationality: Indian
Place of Birth: Ranchi Personal Identification Mark: Mole on right side of cheek
Blood Group: B + Address for Communication: New Kishoreganj Road no. 6/2 Harmu road
State: Jharkhand Country: India
Pin: 834001 City/District: Ranchi
Mobile no: 6201860746 Telephone No. with STD code:
Aadhar Card No:897346138509 E-mail: sulekhasingh6667@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Raj Kumar Singh Relationship with candidate: Father
Parents Date of Birth: 05 Dec 1973 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: Saraswati Shishu Vidya mandir Sector 2 Dhurwa, Ranchi
Country: India State: Jharkhand
City/District: RANCHI Pin: 834001
Tel: Mobile no.: 8709414660
Fax: Email: raj5kusingh@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: Saint Francis School School: DAV Kapildev Public School
City: RANCHI City: Ranchi
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Kadru, Ranchi
  Pin: 834001
  Contact Nos: 9430393437
  Email: davkapildev@gmail.com
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2016 International Mathematics Olympiad Inter School 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to explore my strengths my reaching upto best of my potentials and also have to prepare for the sponsership and imu cet exams.
Why do you wish to join TMI?: To join a life defining field like merchant navy a good guidance is required in which TMI stands above the rest so its my first choice.
What are your hobbies?: Solo travelling, exploring horror literature
What are your strengths?: Positive attitude, healthy competitive behaviour
What are your weaknesses?: Being too honest towards my work and workmen
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 not uploaded 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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