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: DNS2174096 Name: Kamlesh choudhary
  Address: Bas Shekhawat Post office-neemuchana Bansur, alwar
Telephone No.: Mobile no: 7340399787
E-mail: kamleshchoudhary5132@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment 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 DNS2174096 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: DNS2174096
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kamlesh choudhary
Mother's Name: Laxmi devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jun 2002 Nationality: Indian
Place of Birth: Bansur Personal Identification Mark: Mole on nose
Blood Group: O + Address for Communication: Bas Shekhawat Post office-neemuchana Bansur, alwar
State: Rajasthan Country: India
Pin: 301024 City/District: Jaipur
Mobile no: 7340399787 Telephone No. with STD code:
Aadhar Card No:850370328461 E-mail: kamleshchoudhary5132@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jhanjhu ram Relationship with candidate: Father
Parents Date of Birth: 25 Aug 1962 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Bas Shekhawat Post office- neemuchana Bansur,alwar
Country: India State: Rajasthan
City/District: Jaipur Pin: 301024
Tel: Mobile no.: 8306525240
Fax: Email: kamleshchoudhary5132@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2021
Board: CBSE Board: NIOS
School: Sainik school chittorgarh School: Saraswati Vidya Mandir Senior Secondry school
City: Chittorgarh City: Sikar
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Centre code:
  Address of School/College: Sikar
  Pin: 332001
  Contact Nos:
  Email: samdhiya5132@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
04/2015 Ncc National A certificate
08/2016 Football Inter house 2nd
08/2017 Basketball Sainik school interhouse 2nd
04/2014 Horse riding District 2nd
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2015 Ncc 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By participating in marathons and social work
Why do you wish to join TMI?: Because TMI is one of the most RESPECTED and REPUTED colleges in india.
What are your hobbies?: Horse riding,reading books
What are your strengths?: Hardworking,focused
What are your weaknesses?: Being too honest
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 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

 

___________________

Date ________________

 
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