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: DNS2173642 Name: Kumar Mayank
  Address: Milki Dath Jayantipur Benipur MILKI Dath Jayantipur Benipur
Telephone No.: Mobile no: 9509085733
E-mail: krmayank1585@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 429744471
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173642 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: DNS2173642
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kumar Mayank
Mother's Name: Sanju kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Oct 2001 Nationality: Indian
Place of Birth: Milki Dath Personal Identification Mark: Mole on right hand
Blood Group: B + Address for Communication: Milki Dath Jayantipur Benipur MILKI Dath Jayantipur Benipur
State: Bihar Country: India
Pin: 847103 City/District: Darbhanga
Mobile no: 9509085733 Telephone No. with STD code:
Aadhar Card No: E-mail: krmayank1585@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj Kumar Relationship with candidate: Father
Parents Date of Birth: 15 Aug 1975 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: MILKI Dath MILKI Dath Darbhanga
Country: India State: Bihar
City/District: Darbhanga Pin: 847103
Tel: Mobile no.: 9470088707
Fax: Email: mkumar83185@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Jawahar Navodaya vidyalaya samastipur School: Sadhana Devi Vidyapith samastipur
City: Samastipur City: Samastipur
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: Kashipur samastipur
  Pin: 848101
  Contact Nos:
  Email: meenakshithakur25121983@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing some research On my upcoming carrier. And doing my hobies.
Why do you wish to join TMI?: This is one of the best college to secure my future. Facilities are best.
What are your hobbies?: Writting poems and reading newspaper.
What are your strengths?: Determined to complete my work.
What are your weaknesses?: Believe on others.
How do you intend to meet the expenses of this program?: Own Resources,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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