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: DNS2174525 Name: ANKIT KUMAR
  Address: AT- KEMKHA POST- BASUDEOPUR PS- KOTWALI
Telephone No.: Mobile no: 7209308652
E-mail: 7209308652ankit@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425869629
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174525 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: DNS2174525
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANKIT KUMAR
Mother's Name: NITU DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Mar 2003 Nationality: INDIAN
Place of Birth: MUNGER Personal Identification Mark: A MOLE ON THE RIGHT CHEEK
Blood Group: A + Address for Communication: AT- KEMKHA POST- BASUDEOPUR PS- KOTWALI
State: Bihar Country: India
Pin: 811202 City/District: MUNGER
Mobile no: 7209308652 Telephone No. with STD code:
Aadhar Card No:541355335869 E-mail: 7209308652ankit@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MUKESH KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 31 Dec 1978 Parent's/Guardian's Occupation/Designation: ARMY
   
Office Address:
   
Address: CHANDI MANDIR CANT 144 AD REGT
Country: India State: Haryana
City/District: PANCHKULA Pin: 926144
Tel: Mobile no.: 7488731139
Fax: Email: ankitkumaryadavmgr2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DAV PUBLIC SCHOOL School: SREE AYYAPPA PUBLIC SCHOOL
City: MUNGER City: BOKARO STEEL CITY
English %: 74 Board Roll No./Seat No.: 22677522
Aggregate Percentage: 74 School/College Code: 66309
  Centre code: 6743
  Address of School/College: SECTOR 5 BOKARO STEEL CITYJHARKHAND
  Pin: 882700
  Contact Nos:
  Email: info@ayyappaschool.in
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 62 62
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 66
English 100 86 86
   
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
2018 SPORTS INTER HOUSE SCHOOL KHO KHO COMPETITON SECOND
2018 ACTIVITY INTER HOUSE SCHOOL POSTER MAKING COMPETITON SECOND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREARING FOR IMUCET AND NDA
Why do you wish to join TMI?: QUALITY KNOWLEDGE AND BEST PLACEMENT RECORD
What are your hobbies?: BIKE RIDING WITH FRIENDS
What are your strengths?: MY STRENGTH IS TO DIVIDE THE TASK INTO SMALL TASK AND THEN TACKLE IT
What are your weaknesses?: NERVOUSNESS IN PUBLIC SPEAKING IN ENGLISH LANGUAGE
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 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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