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: DNS2175217 Name: Ashish Ranjan
  Address: Gram-Post-bari att,Nalanda, Bihar Ayodhya nagar, behind Nalanda dairy Kargil chowk, Bihar sharif
Telephone No.: Mobile no: 9983132470
E-mail: rashish27@yahoo.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426158736
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175217 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: DNS2175217
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashish Ranjan
Mother's Name: Kavita Kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Jul 2003 Nationality: Indian
Place of Birth: Biharsharif Personal Identification Mark: mole on right cheek
Blood Group: B + Address for Communication: Gram-Post-bari att,Nalanda, Bihar Ayodhya nagar, behind Nalanda dairy Kargil chowk, Bihar sharif
State: Bihar Country: India
Pin: 803114 City/District: Nalanda
Mobile no: 9983132470 Telephone No. with STD code:
Aadhar Card No:306193609088 E-mail: rashish27@yahoo.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bibhay Ranjan Chaudhary Relationship with candidate: Father
Parents Date of Birth: 10 Sep 1972 Parent's/Guardian's Occupation/Designation: Government Service
   
Office Address:
   
Address: Gram-Post-bari att,Nalanda, Bihar Ayodhya nagar, behind Nalanda dairy Kargil chowk, Bihar sharif
Country: India State: Bihar
City/District: Nalanda Pin: 803114
Tel: Mobile no.: 8051292808
Fax: Email: rashish27@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: S R Public School School: Golden Bell Public School
City: Kota City: Nalanda
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: N.H.31 Mora Talab, Sohsarai, Nalanda
  Pin: 803118
  Contact Nos:
  Email: Kbipin1@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2015 Cricket All India IPSC Third Position
11/2016 Cricket All India IPSC Second Position
01/2017 Cricket National Participation
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will learn spoken languages , computer skills and taking knowledge about ships
Why do you wish to join TMI?: I want to do my Merchant Navy training from best institute and upto my Knowledge and research TMI is best in its training, infrastructure and best environment to learn
What are your hobbies?: learning spoken languages
What are your strengths?: My strengths are my self-believe to do hard work and my confidence .
What are your weaknesses?: i focus too much on details
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 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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