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: DNS2172446 Name: Raunak Maurya
  Address: Belgahan Sikarara Jaunpur
Telephone No.: Mobile no: 9628309641
E-mail: mraunak40@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: 437896178
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172446 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: DNS2172446
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Raunak Maurya
Mother's Name: Sangeeta Maurya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Jul 2001 Nationality: Indian
Place of Birth: U.P Personal Identification Mark: Mole on right hand index finger
Blood Group: A - Address for Communication: Belgahan Sikarara Jaunpur
State: Uttar Pradesh Country: India
Pin: 222161 City/District: Jaunpur
Mobile no: 9628309641 Telephone No. with STD code:
Aadhar Card No:386838894869 E-mail: mraunak40@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Maurya Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1980 Parent's/Guardian's Occupation/Designation: Auto Driver
   
Office Address:
   
Address: Vapi Vapi
Country: India State: Gujarat
City/District: Valashad Pin: 396195
Tel: Mobile no.: 7698362848
Fax: Email: mraunak40@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Uttar Pradesh Board: Uttar Pradesh
School: M.V.I.C BANKI SIKRRA JAUNPUR School: M.V.I.C BANKI SIKRARA JAUNPUR
City: JAUNPUR City: JAUNPUR
English %: 85 Board Roll No./Seat No.: 1938053
Aggregate Percentage: 78 School/College Code: 1395
  Centre code: 9640208503
  Address of School/College: BANKI SIKRARA
  Pin: 222131
  Contact Nos:
  Email: mraunak40@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 67 67
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 67.33
English 100 75 75
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I like to traveled varanasi and lucknow. I also completed 10 days meditation at Kanpur.
Why do you wish to join TMI?: TMI have good study and training faculty,Good placement.
What are your hobbies?: Exercise and playing badminton.
What are your strengths?: I have good patience and strong mindset.
What are your weaknesses?: I trust very easily,it is hurt me.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded 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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