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: DNS2172950 Name: Protyush Roy
  Address: Joygachi, .30No. Railgate Habra, North 24 Parganas
Telephone No.: 9733764578 Mobile no: 6296617217
E-mail: sanuroymmm@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425496218
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172950 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: DNS2172950
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Protyush Roy
Mother's Name: Khushi Roy
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jun 2002 Nationality: Indian
Place of Birth: Habra Personal Identification Mark: Birth Mark in Right Hand
Blood Group: AB + Address for Communication: Joygachi, .30No. Railgate Habra, North 24 Parganas
State: West Bengal Country: India
Pin: 743263 City/District: Kolkata
Mobile no: 6296617217 Telephone No. with STD code: 9733764578
Aadhar Card No:731499450133 E-mail: sanuroymmm@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shyamal Roy Relationship with candidate: Father
Parents Date of Birth: 28 Dec 1975 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Joygachi, .30No. Railgate Habra, North 24 Parganas
Country: India State: West Bengal
City/District: Kolkata Pin: 743263
Tel: 9733764578 Mobile no.: 9733764578
Fax: Email: sanuroymmm@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: West Bengal Board: West Bengal
School: Habra High School School: HABRA HIGH SCHOOL
City: Habra City: Habra
English %: 90 Board Roll No./Seat No.: 4645111311
Aggregate Percentage: 9 School/College Code: 103094
  Centre code: 19112400505
  Address of School/College: Hijalpukuria, Habra
  Pin: 743271
  Contact Nos: 6296617217
  Email: sanuroymmm@gmail.com
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 90 90
Chemistry 100 90 90
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 86.67
English 100 83 83
   
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
08/2011 Drawing Junior Diploma Part III First Division
06/2012 Drawing Junior Diploma Final First Division
07/2013 Drawing Senior diploma Part I First Division
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After completion of my XII I gave focus for my NDA Examintaion and started practicing football which I had left after my class VIII and give some time on my cooking.
Why do you wish to join TMI?: From internet sources and many mariner cum you tuber suggests me that many big companies come to TMI for giving sponsership and TMI gives a lot of education and has best teachers.
What are your hobbies?: Football, Cooking
What are your strengths?: i can easily habituate myself in a new place or situation. As I was CR in my school and college I have the organising ability and team work ability in me.
What are your weaknesses?: I cant sit for my studies for more than 1 to 2 hours at a time
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 not uploaded 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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