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: DNS2172998 Name: Sudhanshu verma
  Address: Nurruddinganj malsalami Patna city chalti firti Devi ji Opposite chalti firti devi ji
Telephone No.: Mobile no: 7909035663
E-mail: sudhanshuv931@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425086526
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172998 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: DNS2172998
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sudhanshu verma
Mother's Name: Kiran verma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Aug 2003 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: Surgery mark on right hand
Blood Group: O - Address for Communication: Nurruddinganj malsalami Patna city chalti firti Devi ji Opposite chalti firti devi ji
State: Bihar Country: India
Pin: 800008 City/District: Patna
Mobile no: 7909035663 Telephone No. with STD code:
Aadhar Card No:639072805787 E-mail: sudhanshuv931@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Late vinay kumar verma Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1951 Parent's/Guardian's Occupation/Designation: Ex government officer
   
Office Address:
   
Address: New sinha library road , dakbunglaw chouraha patna Opposite of central mall patna
Country: India State: Bihar
City/District: Patna Pin: 800001
Tel: Mobile no.: 7033344888
Fax: Email: sudhanshuv931@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Bihar
School: Jesus and mary academy School: Oriental college
City: Patna City: Patna
English %: 63 Board Roll No./Seat No.: 21010494
Aggregate Percentage: 75 School/College Code: 17001
  Centre code: 10280105529
  Address of School/College: Paschim darwaza patna city
  Pin: 800008
  Contact Nos:
  Email: info@orientalcollege.in
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 59 59
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 61.33
English 100 85 85
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Self study and preparing for imu cet amd also play cricket as well as reading books
Why do you wish to join TMI?: It is best college for joining merchant navy , in this college , students are placed in good company
What are your hobbies?: Photography and editing
What are your strengths?: I think one of my greatest strengths is as a problem solver
What are your weaknesses?: inability to share responsibilities
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 Class XII admit card 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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