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: DNS2173260 Name: DEVENDRA PARMAR
  Address: DISTRICT RAJGARH TEHSIL NARSINGHGARH POST OFFICE ROSHLA VILLAGE GAGAR MADHYA PRADESH DISTRICT RAJGARH TEHSIL NARSINGHGARH POST OFFICE ROSHLA VILLAGE GAGAR MADHYA PRADESH
Telephone No.: Mobile no: 9301456963
E-mail: devendraparmar6963@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: 425178725
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173260 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: DNS2173260
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DEVENDRA PARMAR
Mother's Name: CHANDRAKALA BAI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Mar 2004 Nationality: INDIAN
Place of Birth: INDIA Personal Identification Mark: MOLE
Blood Group: O + Address for Communication: DISTRICT RAJGARH TEHSIL NARSINGHGARH POST OFFICE ROSHLA VILLAGE GAGAR MADHYA PRADESH DISTRICT RAJGARH TEHSIL NARSINGHGARH POST OFFICE ROSHLA VILLAGE GAGAR MADHYA PRADESH
State: Madhya Pradesh Country: India
Pin: 465685 City/District: RAJGARH
Mobile no: 9301456963 Telephone No. with STD code:
Aadhar Card No:897297569358 E-mail: devendraparmar6963@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BABULAL Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1978 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: DISTRICT RAJGARH TEHSIL NARSINGHGARH POST OFFICE ROSHLA VILLAGE GAGAR MADHYA PRADESH DISTRICT RAJGARH TEHSIL NARSINGHGARH POST OFFICE ROSHLA VILLAGE GAGAR MADHYA PRADESH
Country: India State: Madhya Pradesh
City/District: RAJGARH Pin: 465685
Tel: Mobile no.: 9301456963
Fax: Email: devendraparmar6963@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Madhya Pradesh Board: Madhya Pradesh
School: SVN SCHOOL BODA School: SVN SCHOOL
City: BODA City: BODA
English %: 75 Board Roll No./Seat No.: 206129651
Aggregate Percentage: 90 School/College Code: 612059
  Centre code: 611022
  Address of School/College: TOWN BODA AMBEDKAR CHOCK BODA MADHYA PRADESH
  Pin: 465685
  Contact Nos: 09301456963
  Email: devendraparmar6963@gmail.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 92 92
Chemistry 100 86 86
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 87.67
English 100 72 72
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I AM DOING PREPRATION FOR MERCHANT NAVY AND WALK IN FREE TIME AND HELP MY PARENTS HIS WORK
Why do you wish to join TMI?: GOOD COLLEGE FOR DNS AND GET GOOD COMPANY PKLACEMENT
What are your hobbies?: SWIMMING
What are your strengths?: I WORK LIKE RECURSION
What are your weaknesses?: I TRUST PEOPLE VERY EASILY
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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