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: DNS2174340 Name: ASHISH RANJAN MISHRA
  Address: durga aashram gali near the lal babu singh loduge raja bajar patna
Telephone No.: Mobile no: 9304492589
E-mail: armishra1710@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: 425774560
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174340 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: DNS2174340
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ASHISH RANJAN MISHRA
Mother's Name: KIRAN DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Oct 2000 Nationality: INDIAN
Place of Birth: DARBHANGA Personal Identification Mark: CUT MARK ON CHIN
Blood Group: B + Address for Communication: durga aashram gali near the lal babu singh loduge raja bajar patna
State: Bihar Country: India
Pin: 800014 City/District: patna
Mobile no: 9304492589 Telephone No. with STD code:
Aadhar Card No:670618815366 E-mail: armishra1710@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ASHOK KUMAR MISHRA Relationship with candidate: FATHER
Parents Date of Birth: 15 Nov 1968 Parent's/Guardian's Occupation/Designation: GOVERNMENT JOB
   
Office Address:
   
Address: supaul police station supaul
Country: India State: Bihar
City/District: supaul Pin: 800014
Tel: Mobile no.: 8617525002
Fax: Email: armishra1710@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: SCHOLARS ABODE School: SRI SITARAM HARIJAN COLLEGE
City: PATNA City: NALANDA
English %: 95 Board Roll No./Seat No.: 19010151
Aggregate Percentage: 95 School/College Code: 803202
  Centre code: 12018
  Address of School/College: sri sitaram harijan college soradih nalanda
  Pin: 803202
  Contact Nos:
  Email: armishra1710@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 49 49
Chemistry 100 78 78
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 63
English 100 70 70
   
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
05/2017 THROWBALL NATIONAL 4TH
03/2018 THROWBALL NATIONAL 4TH
03/2019 THROWBALL NATIONAL 4TH
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PHOTOGRAPHY ,PERSONALITY DEVELOPMENT
Why do you wish to join TMI?: BEING THE MOST REPUTED MARITIME COLLEGE ACROSS THE COUNTRY ITS HALFWAY TO MY SUCESS IN THIS FIELD.
What are your hobbies?: PLAYING THROWBALL,PHOTOGRAPHY
What are your strengths?: LEADERSHIP
What are your weaknesses?: TRUST ANYONE EASILY
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 Class XII marksheet
 
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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