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: DNS2174134 Name: SAYANDEEP MANGAL
  Address: Jara, paschim Medinipur Mangal Para, near Hari Mandir
Telephone No.: Mobile no: 9382361281
E-mail: mangalsayandeep9@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426216338
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174134 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: DNS2174134
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SAYANDEEP MANGAL
Mother's Name: Swapna Mangal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Sep 2000 Nationality: INDIAN
Place of Birth: Kshirpai Personal Identification Mark: Stretch Mark at left hand
Blood Group: A + Address for Communication: Jara, paschim Medinipur Mangal Para, near Hari Mandir
State: West Bengal Country: India
Pin: 721232 City/District: Kshirpai
Mobile no: 9382361281 Telephone No. with STD code:
Aadhar Card No:812866569212 E-mail: mangalsayandeep9@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shyama Prasad Mangal Relationship with candidate: Father
Parents Date of Birth: 21 Jan 1962 Parent's/Guardian's Occupation/Designation: Primary schoolTeacher
   
Office Address:
   
Address: Jara, paschim Medinipur Mangal Para, near Hari Mandir
Country: India State: West Bengal
City/District: Kshirpai Pin: 721232
Tel: 9933842838 Mobile no.: 9933842838
Fax: Email: mangalsayandeep9@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: West Bengal Board: West Bengal
School: JARA HIGH SCHOOL School: JARA HIGH SCHOOL
City: Jara City: Kshirpai
English %: 80 Board Roll No./Seat No.: 3240111191
Aggregate Percentage: 89 School/College Code: 205083
  Centre code: 324011
  Address of School/College: Vilp.o - Jara, Dist - paschim.medinipur
  Pin: 721232
  Contact Nos: 9382361281
  Email: mangalsayandeep9@gmail.com
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 80 80
Mathematics 100 91 91
Physics, Chemistry & Mathematics combined Percentage: 82.33
English 100 82 82
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2019 Industrial Training at Raghunathpur 132kv substation under wbsetcl Course duration was 1 month
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing a basic course on computer knowledge..I can play Tabla.so playing Tabla
Why do you wish to join TMI?: To build a successful career in Marine industry
What are your hobbies?: Playing cricket and reading story book
What are your strengths?: I can do Hard work and can spend sleepless nights for work.i can speak politely even with my foe
What are your weaknesses?: Worry about exam,mood swing is my main weakness
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form