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: DNS2174116 Name: Manish Kumar
  Address: VPO Kumashpur. Distt.-Sonipat VPO Kumashpur Distt -Sonipat
Telephone No.: 09671324069 Mobile no: 9671324039
E-mail: manishkumar.mk1207@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: 427072765
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174116 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: DNS2174116
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Manish Kumar
Mother's Name: Saroj bala
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Sep 2002 Nationality: Indian
Place of Birth: Kumashpur Personal Identification Mark: Mole on neck
Blood Group: A + Address for Communication: VPO Kumashpur. Distt.-Sonipat VPO Kumashpur Distt -Sonipat
State: Haryana Country: India
Pin: 131021 City/District: Sonipat
Mobile no: 9671324039 Telephone No. with STD code: 09671324069
Aadhar Card No:494879183761 E-mail: manishkumar.mk1207@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh kumar Relationship with candidate: Father
Parents Date of Birth: 08 Dec 1973 Parent's/Guardian's Occupation/Designation: Supervisor
   
Office Address:
   
Address: VPO Kumashpur. Distt.-Sonipat VPO Kumashpur Distt -Sonipat
Country: India State: Haryana
City/District: Sonipat Pin: 131021
Tel: 09050288538 Mobile no.: 9050288538
Fax: Email: rajeshk73825@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Motilal Nehru school of sports Rai School: Motilal Nehru school of sports Rai
City: Rai City: Rai
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: Rai Distt-Sonipat Haryana
  Pin: 131029
  Contact Nos: 09671324069
  Email: manishkumar.mk1207@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
01/2020 Boxing National Championship National Participation
09/2019 Boxing All India IPSC National level 2nd position
10/2020 School Hindi Debate School level 1st position
06/2019 Cricket All India IPSC National level 2nd Position
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
08/2019 NCC 2 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spend my time playing various games to keep myself fit. I also watch merchant navy related videos.
Why do you wish to join TMI?: As i am very interesting in adventures activities and i think merchant navy is good opportunity. And your TMI is a prestigious institute for DNS course.
What are your hobbies?: My hobbies are playing games and adventure activities
What are your strengths?: My strength are my hard determination,patience and heping nature.
What are your weaknesses?: My weakness is my aggression quickly.
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

___________________

Date ________________

 
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