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: DNS2175332 Name: DHEERAJ KUMAR
  Address: POST- RAMPURA GRAM- RAMPURA, RAMPURA DARBHANGA, BIHAR PIN NO- 847106
Telephone No.: Mobile no: 8789656319
E-mail: Dheerajkrchy2000@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426224316
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175332 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: DNS2175332
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DHEERAJ KUMAR
Mother's Name: KIRAN DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 May 2002 Nationality: INDIAN
Place of Birth: DARBHANGA Personal Identification Mark: Cuta on nose
Blood Group: B + Address for Communication: POST- RAMPURA GRAM- RAMPURA, RAMPURA DARBHANGA, BIHAR PIN NO- 847106
State: Bihar Country: India
Pin: 847106 City/District: DARBHANGA
Mobile no: 8789656319 Telephone No. with STD code:
Aadhar Card No: E-mail: Dheerajkrchy2000@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ANIL KUMAR CHAUDHARY Relationship with candidate: FATHER
Parents Date of Birth: 05 Oct 1970 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: POST- RAMPURA, GRAM- RAMPURA, RAMPURA DARBHANGA, BIHAR PIN NO 847106
Country: India State: Bihar
City/District: DARBHANGA Pin: 847106
Tel: Mobile no.: 8910410674
Fax: Email: dheerajkrchy2000@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Bihar
School: DELHI PUBLIC SCHOOL KADIRABAD DARBHANGA BR School: R B JALAN COLLEGE BELA DARBHANGA BIHAR
City: DARBHANGA City: DARBHANGA
English %: 85 Board Roll No./Seat No.: 20040003
Aggregate Percentage: 83 School/College Code: 205116009
  Centre code: 51019
  Address of School/College: POST- RAMPURA, GRAM- RAMPURA, RAMPURA DARBHANGA, BIHAR PIN NO 847106
  Pin: 847106
  Contact Nos: 08910410674
  Email: dheerajkrchy2000@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 69 69
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 66.67
English 100 77 77
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for IMU
Why do you wish to join TMI?: Bcz it is one of the best institute in India
What are your hobbies?: Traveling
What are your strengths?: Communication
What are your weaknesses?: Sometimes i tell a lie
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form