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: DNS2174889 Name: Raj kumar
  Address: Shahpur Danpur cantt Patna
Telephone No.: 06299776291 Mobile no: 6299776291
E-mail: rajsingh767162@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 431500374
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174889 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: DNS2174889
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Raj kumar
Mother's Name: Rinki kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jan 2003 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: No
Blood Group: AB + Address for Communication: Shahpur Danpur cantt Patna
State: Bihar Country: India
Pin: 801503 City/District: Patna
Mobile no: 6299776291 Telephone No. with STD code: 06299776291
Aadhar Card No:914414636117 E-mail: rajsingh767162@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jagat singh Relationship with candidate: Maternal grandfather
Parents Date of Birth: 19 Dec 1956 Parent's/Guardian's Occupation/Designation: Retired army officer
   
Office Address:
   
Address: Shahpur Danapur cantt patna
Country: India State: Bihar
City/District: Patna Pin: 801503
Tel: 08271460152 Mobile no.: 6299776291
Fax: Email: rajsingh767162@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Oasis res public school School: Dr. D ram dav public school
City: Patna City: Patna
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 72 School/College Code:
  Centre code:
  Address of School/College: Gola road danapur patna
  Pin: 801503
  Contact Nos:
  Email: rajsingh767162@gmail.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 ?: Learn a foreign language. ... Attend a Career Counseling Session
Why do you wish to join TMI?:
What are your hobbies?: Cricket
What are your strengths?: Confidence
What are your weaknesses?: Patience
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

 

___________________

Date ________________

 
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