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: DNS2172966 Name: SATYAM SINGH
  Address: SAMODHPUR JAUNPUR SAMODHPUR JAUNPUR
Telephone No.: Mobile no: 8928057421
E-mail: satyamsingh00022@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426677096
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172966 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: DNS2172966
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SATYAM SINGH
Mother's Name: BINDU SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jan 2003 Nationality: INDAIN
Place of Birth: JAUNPUR Personal Identification Mark: SAMODHPUR JAUNPUR
Blood Group: O - Address for Communication: SAMODHPUR JAUNPUR SAMODHPUR JAUNPUR
State: Uttar Pradesh Country: India
Pin: 223102 City/District: Jaunpur
Mobile no: 8928057421 Telephone No. with STD code:
Aadhar Card No:837737574200 E-mail: satyamsingh00022@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJAY SINGH Relationship with candidate: FATHER
Parents Date of Birth: 01 Apr 1978 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: SAMODHPUR JAUNPUR SAMODHPUR JAUNPUR
Country: India State: Uttar Pradesh
City/District: Jaunpur Pin: 223102
Tel: Mobile no.: 7860012335
Fax: Email: satyamsingh00022@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Uttar Pradesh
School: HOLY DIVINE PD SSM CONVENT SCHOOL School: TRIBHUVANDEVI ACADEMY JR HIGH SCHOOL
City: Jaunpur City: Jaunpur
English %: 76 Board Roll No./Seat No.: 23705280
Aggregate Percentage: 60 School/College Code: 71263
  Centre code: 7295
  Address of School/College: shahabuddinpur banger kalan sulatnpur
  Pin: 223102
  Contact Nos: 8928057421
  Email: satyamsingh00022@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 59 59
Chemistry 100 61 61
Mathematics 100 46 46
Physics, Chemistry & Mathematics combined Percentage: 55.33
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 ?: CATCHING UP WITH UNSEEN MOVIE AND SERIES / READING AND WRITING / VISITING THE LOCAL UNEXPLORED PLACE /JOIN HOBBY CLASSES / COUNSELLING
Why do you wish to join TMI?: ITS HAS GOOD ACADEMIC FACILITIES/BEST CLASS ROOM / BEST LABORATORYY /BEST AUDITORIUM
What are your hobbies?: PLAYING SPORTS
What are your strengths?: i think one of my greatest strengths is as a problem solver. i have the ability to see a situation from different perspectives and i can get my work done even in the face of difficult obstacles
What are your weaknesses?: i can have trouble asking for help
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 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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