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: DNS2174269 Name: chauhan suraj kumar ranjeet
  Address: vakratund apt building no 2 room no 104
Telephone No.: Mobile no: 9561231368
E-mail: surajranjeetchauhan3@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 425678954
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174269 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: DNS2174269
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: chauhan suraj kumar ranjeet
Mother's Name: meena chauhan
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2003 Nationality: INDIAN
Place of Birth: bihar Personal Identification Mark: mole on right hand
Blood Group: B + Address for Communication: vakratund apt building no 2 room no 104
State: Maharashtra Country: India
Pin: 401305 City/District: virar east
Mobile no: 9561231368 Telephone No. with STD code:
Aadhar Card No: E-mail: surajranjeetchauhan3@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ranjeet chauhan Relationship with candidate: father
Parents Date of Birth: 26 May 1979 Parent's/Guardian's Occupation/Designation: self employed
   
Office Address:
   
Address: opal apartment shop no 02 opposite police station
Country: India State: Maharashtra
City/District: virar east Pin: 401305
Tel: Mobile no.: 7620092567
Fax: Email: surajranjeetchauhan3@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: vidya vihar english high school School: utkarsha vidyalaya junior collage
City: virar west City: virar west
English %: 57 Board Roll No./Seat No.:
Aggregate Percentage: 72 School/College Code:
  Centre code:
  Address of School/College: new viva collage campus near d mart virar west
  Pin: 40130
  Contact Nos:
  Email: utkarshavidyalaya@rediff.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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i have done research on merchant navy and there working and i also had done the research on how the global shipping work
Why do you wish to join TMI?: through internet and friends i come to know that TMI is the best institute for merchant navy.they all the modern training equipment and training facility.TMI also provides sponsorship with great companies in the world
What are your hobbies?: sports,cycling
What are your strengths?: maths
What are your weaknesses?: chemisyry
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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