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: DNS2173177 Name: Rahul tripathi
  Address: Arya nagar bansi siddharthnagar Khooni pur near state bank bansi
Telephone No.: Mobile no: 6390371136
E-mail: rahul1103tripathi@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 426002189
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173177 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: DNS2173177
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rahul tripathi
Mother's Name: Reeta tripathi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Mar 2001 Nationality: Indian
Place of Birth: Bansi Personal Identification Mark: Mole at right side of the face
Blood Group: O + Address for Communication: Arya nagar bansi siddharthnagar Khooni pur near state bank bansi
State: Uttar Pradesh Country: India
Pin: 272153 City/District: Siddharthnagar
Mobile no: 6390371136 Telephone No. with STD code:
Aadhar Card No:236857500941 E-mail: rahul1103tripathi@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shishir chandra tripathi Relationship with candidate: Father
Parents Date of Birth: 01 Apr 1965 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Arya nagar Bansi Khoonipur near state bank bansi
Country: India State: Uttar Pradesh
City/District: Siddharthnagar Pin: 272153
Tel: Mobile no.: 6390371136
Fax: Email: rahul1103tripathi@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: J I C asidhawa chetia siddharthnagar School: M D convent IC tilauli siddharthnagar
City: Bansi City: Bansi
English %: 84 Board Roll No./Seat No.: 2409013
Aggregate Percentage: 84 School/College Code: 1157
  Centre code: 09598
  Address of School/College: Tilauli bansi siddharthnagar
  Pin: 272153
  Contact Nos:
  Email: rahul1103trioathi@gmail.com
  Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 55 55
Chemistry 100 64 64
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 63.33
English 100 48 48
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have spend my time by studying doing some physical activties to maintain myself
Why do you wish to join TMI?: Because tmi is one of the best collage for merchant navy
What are your hobbies?: Singing and doing some physical activities
What are your strengths?: My strength is my punctuality
What are your weaknesses?: Being to honest
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate 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

 

___________________

Date ________________

 
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