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: DNS2175080 Name: BISHAL KUMAR PATHAK
  Address: Sardar patel marg Near dav school transport nagar Kumhrar
Telephone No.: Mobile no: 8789726906
E-mail: raunakraj8439@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: 426095422
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175080 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: DNS2175080
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BISHAL KUMAR PATHAK
Mother's Name: MANORMA PATHAK
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jan 2003 Nationality: INDIAN
Place of Birth: PATNA Personal Identification Mark: Mole in right ear
Blood Group: A + Address for Communication: Sardar patel marg Near dav school transport nagar Kumhrar
State: Bihar Country: India
Pin: 800026 City/District: Patna
Mobile no: 8789726906 Telephone No. with STD code:
Aadhar Card No:517970277868 E-mail: raunakraj8439@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Binod Kumar pathak Relationship with candidate: Father
Parents Date of Birth: 05 Jan 1975 Parent's/Guardian's Occupation/Designation: Business man
   
Office Address:
   
Address: Shop no. 1 savatri market Opp. NRL petrol pump Bypass
Country: India State: Bihar
City/District: Patna Pin: 800026
Tel: Mobile no.: 8084506339
Fax: Email: vinodkumarpathak456@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Digdarshan sec. School School: St. Lawrence academy
City: Bihta City: Bikram
English %: 67 Board Roll No./Seat No.: 22656238
Aggregate Percentage: 64 School/College Code: 65615
  Centre code: 6667
  Address of School/College: Shahpur karnaja bikram patna
  Pin: 801109
  Contact Nos:
  Email: st.lawranceacademy@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 80 80
Mathematics 100 45 45
Physics, Chemistry & Mathematics combined Percentage: 64.33
English 100 55 55
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am preparing for imucet test and companies interview.
Why do you wish to join TMI?: TMI is one of the best marine college in india.That why I want to join TMI for best future in marine field.
What are your hobbies?: Reading books and listening music and travelling
What are your strengths?: My strength is teamwork.
What are your weaknesses?: My weakness is delegating tasks.
How do you intend to meet the expenses of this program?: Own Resources
 
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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