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: DNS2172032 Name: Om Kumar
  Address: Ramgarh Ranchi Ramgarh
Telephone No.: +918409678388 Mobile no: 8409678388
E-mail: omk80127@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 429374956
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172032 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: DNS2172032
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Om Kumar
Mother's Name: Rekha devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Sep 2003 Nationality: Indian
Place of Birth: Ranchi Personal Identification Mark: Mole on right hand
Blood Group: O + Address for Communication: Ramgarh Ranchi Ramgarh
State: Jharkhand Country: India
Pin: 829101 City/District: Ramgarh
Mobile no: 8409678388 Telephone No. with STD code: +918409678388
Aadhar Card No:349189846535 E-mail: omk80127@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Surendra Kumar Relationship with candidate: Father
Parents Date of Birth: 02 Feb 1974 Parent's/Guardian's Occupation/Designation: Agriculture
   
Office Address:
   
Address: Ramgarh Ranchi Ramgarh
Country: India State: Jharkhand
City/District: Ramgarh Pin: 829101
Tel: 08409678388 Mobile no.: 8409678388
Fax: Email: omk80127@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DAV PUBLIC SCHOOL NTS BARKAKANA School: DAV PUBLIC SCHOOL NTS BARKAKANA
City: RAMGARH City: RAMGARH
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code:
  Centre code:
  Address of School/College: AT-GHUTUWA PO-NTS BARKAKANA PS-PATRATU DIST-RAMGARH
  Pin: 829102
  Contact Nos:
  Email: omk80127@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
12/2017 VOLLEYBALL DISTRICT PARTICIPATE
10/2018 VOLLEYBALL INTER SCHOOL SECOND
10/2016 VOLLEYBALL INTER SCHOOL SECOND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing volleyball and searching about ship
Why do you wish to join TMI?: A well equipped tanning, potential permanent seafaring officer, latest knowledge at work
What are your hobbies?: playing volleyball
What are your strengths?: GOOD AT SPORTS FIELD
What are your weaknesses?: WANT TO DO MANY WORK AT A TIME
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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