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: DNS2175412 Name: Akash verma
  Address: Vill Manikapur Post Jauras Block Trivediganj
Telephone No.: Mobile no: 8052292667
E-mail: akash03042004@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175412 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: DNS2175412
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Akash verma
Mother's Name: Neelam verma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Mar 2004 Nationality: Indian
Place of Birth: Barabanki Personal Identification Mark: Birth spot on right hand
Blood Group: B + Address for Communication: Vill Manikapur Post Jauras Block Trivediganj
State: Uttar Pradesh Country: India
Pin: 227131 City/District: Barabanki
Mobile no: 8052292667 Telephone No. with STD code:
Aadhar Card No:469669962653 E-mail: akash03042004@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Kumar P B Singh Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1971 Parent's/Guardian's Occupation/Designation: Agriculture
   
Office Address:
   
Address: Manikapur Jauras
Country: India State: Uttar Pradesh
City/District: Barabanki Pin: 227131
Tel: Mobile no.: 9670064460
Fax: Email: akash03042004@gmail.comcom
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Uttar Pradesh
School: Sankat mochan public school School: Sankat mochan public school
City: Lucknow City: Lucknow
English %: 59 Board Roll No./Seat No.:
Aggregate Percentage: 64 School/College Code:
  Centre code:
  Address of School/College: Sardarpur karora gosaiganj lucknow
  Pin: 227125
  Contact Nos:
  Email: admin@sankatmochanpublicschool.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 spending my time after completing my class xii exam I will preparing my imucet exam
Why do you wish to join TMI?: My career be secure I wish to join tmi
What are your hobbies?: Playing football
What are your strengths?: My strength I can stay away from my home for a long time
What are your weaknesses?: There is no weakness in this time
How do you intend to meet the expenses of this program?: Bank Loan,Other - No
 
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 ________________

 
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