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: DNS2175216 Name: Neeraj kumar
  Address: VILL-MAHUAR NAWADA PO- BIJUBIGHA PS- BUNIYADGANJ DISTRICT-GAYA VILL-MAHUAR NAWADA PO- BIJUBIGHA PS- BUNIYADGANJ DISTRICT- GAYA
Telephone No.: 7296068073 Mobile no: 7296068073
E-mail: marinerkumarneeraj73@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427727878
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175216 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: DNS2175216
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Neeraj kumar
Mother's Name: Shyama kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jun 2003 Nationality: Indian
Place of Birth: Mahuar nawa Personal Identification Mark: Mole on nose
Blood Group: B + Address for Communication: VILL-MAHUAR NAWADA PO- BIJUBIGHA PS- BUNIYADGANJ DISTRICT-GAYA VILL-MAHUAR NAWADA PO- BIJUBIGHA PS- BUNIYADGANJ DISTRICT- GAYA
State: Bihar Country: India
Pin: 823003 City/District: Gaya
Mobile no: 7296068073 Telephone No. with STD code: 7296068073
Aadhar Card No:295335566790 E-mail: marinerkumarneeraj73@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ashok Kumar Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1972 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: VILL-MAHUAR NAWADA PO- BIJUBIGHA PS- BUNIYADGANJ DISTRICT-GAYA VILL-MAHUAR NAWADA PO- BIJUBIGHA PS- BUNIYADGANJ DISTRICT- GAYA
Country: India State: Bihar
City/District: Gaya Pin: 823003
Tel: Mobile no.: 7296068073
Fax: Email: marinerkumarneeraj73@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Bihar Board: CBSE
School: Al-Momin International school School: Al-Momin International school
City: Gaya City: Gaya
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: At/po- bishunpura via Cherki bazzar Gaya bihar
  Pin: 824237
  Contact Nos:
  Email: almominschoolgaya@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 ?: I will learn swimming and preparation imucet entrance exam.
Why do you wish to join TMI?: my parents
What are your hobbies?: bike ridding
What are your strengths?: creativity
What are your weaknesses?: no weakness
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

 

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Date ________________

 
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