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: DNS2174696 Name: SUJAL PRAKASH
  Address: ADARSH COLONY,PATEL NAGAR PATNA
Telephone No.: Mobile no: 7004974645
E-mail: sujalkkco@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: 428231643
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174696 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: DNS2174696
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SUJAL PRAKASH
Mother's Name: ALKA KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Mar 2002 Nationality: INDIAN
Place of Birth: PATNA Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: B + Address for Communication: ADARSH COLONY,PATEL NAGAR PATNA
State: Bihar Country: India
Pin: 800024 City/District: PATNA
Mobile no: 7004974645 Telephone No. with STD code:
Aadhar Card No:526095641974 E-mail: sujalkkco@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ALKA KUMARI Relationship with candidate: MOTHER
Parents Date of Birth: 01 Jan 1982 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: JAHANABAD BIHAR
Country: India State: Bihar
City/District: JAHANABAD Pin: 804408
Tel: Mobile no.: 7004974645
Fax: Email: sujalkkco@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Bihar
School: ST. KARENS HIGH SCHOOL GOLA ROAD School: GYANODAYA UCCHSTARIYA
City: PATNA City: BHOJPUR
English %: 75 Board Roll No./Seat No.: 2022005731
Aggregate Percentage: 75 School/College Code: 10290105303
  Centre code: CZ07020114
  Address of School/College: BABHNAULI,BHOJPUR
  Pin: 802301
  Contact Nos:
  Email: info@bbose.org
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 58 58
Chemistry 100 065 65
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 67.33
English 100 75 75
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PURSUING HOBBY GUITAR AND TRADING
Why do you wish to join TMI?: TO BECOME A MERCHANT NAVY PERSONNEL
What are your hobbies?: TRADING
What are your strengths?: DETAIL ORIENTED AND MULTITASKING
What are your weaknesses?: LEAVING PROJECTS UNFINISHED
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
 
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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