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: DNS2173117 Name: Ashutosh kumar singh
  Address: Vill-haranahiya, police station-sathi, post office -sathi ,West champaran, bihar Bettiah, west champaran, bihar
Telephone No.: 9934486355 Mobile no: 9473078698
E-mail: singhashutoshkumar22@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173117 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: DNS2173117
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashutosh kumar singh
Mother's Name: Shusma rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jan 2003 Nationality: India
Place of Birth: Bettiah Personal Identification Mark: On the head cut in left side above the eyebwow
Blood Group: A + Address for Communication: Vill-haranahiya, police station-sathi, post office -sathi ,West champaran, bihar Bettiah, west champaran, bihar
State: Bihar Country: India
Pin: 845449 City/District: Bettiah
Mobile no: 9473078698 Telephone No. with STD code: 9934486355
Aadhar Card No:469872549232 E-mail: singhashutoshkumar22@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jata shankar singh Relationship with candidate: Father
Parents Date of Birth: 08 Mar 1973 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Vill-harnahiya, police station -sathi, post office -sathi,West champaran, bihar Bettiah, west champaran, bihar
Country: India State: Bihar
City/District: Bettiah Pin: 845449
Tel: 9473078698 Mobile no.: 9934486355
Fax: Email: singhashutoshkumar22@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: Utkramit m sch rajput madan School: Mahant ramrup Goswami college
City: narkatiayaganj City: Bettiah
English %: 42 Board Roll No./Seat No.: 20010116
Aggregate Percentage: 68 School/College Code: 35004
  Centre code: 203503767
  Address of School/College: Bettiah
  Pin: 845438
  Contact Nos: 9934486355
  Email: singhashutoshkumar22@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 65 65
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 68
English 100 93 93
   
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
04/4/2020 Cricket District As a captain
1/2/2020 Cricket District As a captain
04/03/2020 Cricket Block As a batsmen
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I want to do full time as a good student and as an online working guy.like you youtube,insta , stock market
Why do you wish to join TMI?: Tolani Maritime Academy Come forward today as one of the best academies. There are many facilities for DNS and BSC is the best institute for nautical science and marine engineering
What are your hobbies?: My hobby is listing music and reading noval and now a days watching web series. As per as sports related my favorite cricket and swimming.
What are your strengths?: I am hard working person. I am punctual and loyalty towards my work.
What are your weaknesses?: I cannot say no if anyone ask me for help. I think that is my weakness.
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.
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