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: DNS2173715 Name: KAVESH KUMAR CHOURASIA
  Address: 1/75 GOLAGHAT RAMNAGAR VARANASI
Telephone No.: Mobile no: 7905629425
E-mail: kavesh5432@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425403587
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173715 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: DNS2173715
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KAVESH KUMAR CHOURASIA
Mother's Name: SHAIL CHOURASIA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Dec 2002 Nationality: INDIAN
Place of Birth: BALASORE OD Personal Identification Mark: RIGHT HAND ON CUT MARK
Blood Group: B + Address for Communication: 1/75 GOLAGHAT RAMNAGAR VARANASI
State: Uttar Pradesh Country: India
Pin: 221008 City/District: VARANASI
Mobile no: 7905629425 Telephone No. with STD code:
Aadhar Card No:721846310158 E-mail: kavesh5432@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: KAMALESH KUMAR CHOURASIA Relationship with candidate: FATHER
Parents Date of Birth: 11 Jul 1973 Parent's/Guardian's Occupation/Designation: SALES MAN
   
Office Address:
   
Address: 1/75 GOLAGHAT RAMNAGAR VARANASI
Country: India State: Uttar Pradesh
City/District: VARANASI Pin: 221008
Tel: Mobile no.: 9026028371
Fax: Email: kavesh5432@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: CBSE
School: ST. FRANCIS SCHOOL School: ST XAVIERS HIGH SCHOOL LEDHUPUR
City: VARANASI City: VARANASI
English %: 74 Board Roll No./Seat No.: 23722422
Aggregate Percentage: 74 School/College Code: 71333
  Centre code: 7322
  Address of School/College: LEDHUPUR VARANASI
  Pin: 221106
  Contact Nos:
  Email: jasleen56@yahoo.co.in
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 68 68
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 64.33
English 100 78 78
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION NDA , IMU CET, JEE MAINS
Why do you wish to join TMI?: A BURRING DESIRE TO RIDE THE OCEAN
What are your hobbies?: PHOTOGHRAPHY
What are your strengths?: 0 HOMESCKNESS , DISCIPLINED CHARACTER, ATTITUDE OF SELF CONTROL , RESPONSIBILITIES
What are your weaknesses?: SPENDING MORE TIME ON INTERNET AND VIDEO GAME
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 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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