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: DNS2174045 Name: Divya kumari
  Address: Near madhusudan field chhota gamharia Jamshedpur jharkhand
Telephone No.: 8789839954 Mobile no: 8789839954
E-mail: dksinghanokhi@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174045 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2174045
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Divya kumari
Mother's Name: Kanchan devi
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Oct 2001 Nationality: Indian
Place of Birth: Jharkhand Personal Identification Mark: Aadhar card
Blood Group: AB + Address for Communication: Near madhusudan field chhota gamharia Jamshedpur jharkhand
State: Jharkhand Country: India
Pin: 832108 City/District: Jamshedpur
Mobile no: 8789839954 Telephone No. with STD code: 8789839954
Aadhar Card No:677245936247 E-mail: dksinghanokhi@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ganesh singh Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1972 Parent's/Guardian's Occupation/Designation: Insurance service
   
Office Address:
   
Address: Bharat capital service limited Sakchi
Country: India State: Jharkhand
City/District: Jamshedpur Pin: 832108
Tel: Mobile no.: 9006955083
Fax: Email: ganesh8603867613@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: Xavier school gamharia School: St mary english high school
City: Jamshedpur City: Jamshedpur
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: Bistupur jamshedpur jharkhand
  Pin: 831001
  Contact Nos:
  Email: stmarybistupur@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2017 800 m race School 2
12/2017 400m race School 3
12/2016 400m race School 3
12/2016 Three legged race School 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Enjoying time with family and friends. A bit revision for competitive exams.playing games and learning new things.
Why do you wish to join TMI?: Its a very reputed institute and safe for girls.It is well known for its placement records and help youngsters to become self dependent
What are your hobbies?: Writting short poem and passages,
What are your strengths?: Quick learner good memory discipline
What are your weaknesses?: Food habits
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 ________________

 
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