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: DNS2175207 Name: Rahul Chaubey
  Address: Kanda Road, Bageshwar Pant quairali, kanda road Bageshwar
Telephone No.: 08791581525 Mobile no: 8791581525
E-mail: rahulchaubey640@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426150387
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175207 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2175207
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rahul Chaubey
Mother's Name: Munni devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jun 2003 Nationality: Indian
Place of Birth: Bageshwar Personal Identification Mark: Mole in right hand
Blood Group: O + Address for Communication: Kanda Road, Bageshwar Pant quairali, kanda road Bageshwar
State: Uttaranchal Country: India
Pin: 263642 City/District: Bageshwar
Mobile no: 8791581525 Telephone No. with STD code: 08791581525
Aadhar Card No:883217075447 E-mail: rahulchaubey640@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Naveen chandra Relationship with candidate: Father
Parents Date of Birth: 25 Aug 1975 Parent's/Guardian's Occupation/Designation: Ex indian army
   
Office Address:
   
Address: Kanda Road, Bageshwar Pant quairali, bageshwar Bageshwar
Country: India State: Uttaranchal
City/District: Bageshwar Pin: 263642
Tel: 08791581525 Mobile no.: 9627726333
Fax: 09627726333 Email: rahlchaubey@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Uttaranchal Board: Uttaranchal
School: Board of school education Uttrakhand School: National mission inter college bageshwar
City: Bageshwar City: Bageshwar
English %: 89 Board Roll No./Seat No.: 20484189
Aggregate Percentage: 74 School/College Code: 065
  Centre code: 071017
  Address of School/College: Numaish khet bageshwar
  Pin: 263642
  Contact Nos: 08791581525
  Email: rahlchaubey@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 66 66
Chemistry 100 89 89
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 74.33
English 100 61 61
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I want travelling various places like taj mahal, and mumbai
Why do you wish to join TMI?: I wish that tulani makes our carrier
What are your hobbies?: Playing cricket, running.
What are your strengths?: My strength are i live solve problems and complete it
What are your weaknesses?: My weakness is low experience
How do you intend to meet the expenses of this program?: Own Resources,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 ________________

 
Print Summary and Application Form