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: DNS2175459 Name: Priyanshu Kumar
  Address: sukhwan road , adarsh colony narainapur, bagaha 2
Telephone No.: Mobile no: 7488788672
E-mail: priyanshukumarmishra2000@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426753677
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175459 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: DNS2175459
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Priyanshu Kumar
Mother's Name: Nikki Devu
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Feb 2004 Nationality: Indian
Place of Birth: Bagaha Personal Identification Mark: mole mark on left cheek
Blood Group: O + Address for Communication: sukhwan road , adarsh colony narainapur, bagaha 2
State: Bihar Country: India
Pin: 845105 City/District: West Champaran
Mobile no: 7488788672 Telephone No. with STD code:
Aadhar Card No:523601184194 E-mail: priyanshukumarmishra2000@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Lalbabu Mishra Relationship with candidate: Father of Candidate
Parents Date of Birth: 15 Nov 1971 Parent's/Guardian's Occupation/Designation: Bio gas plant operator in sugar fac
   
Office Address:
   
Address: main road lauriya
Country: India State: Bihar
City/District: West Champaran Pin: 845453
Tel: Mobile no.: 9955556944
Fax: Email: lalbabumishra1971@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Rajhans Public School School: Devsthaliya Vidyapeeth
City: Ramnagar City: Motihari
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: Chandrahiya , motihari
  Pin: 845401
  Contact Nos:
  Email: priyanshukumarmishra2000@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 ?: By learning some basics of coding language.
Why do you wish to join TMI?: I love seas and oceans and I want to be a part of these . And also I want to pursue the course to join merchant navy with a reputed institute. And TMI fullfill all desired criteria that I want.
What are your hobbies?: Playing cricket and badminton , Solving puzzles like rubik cube
What are your strengths?: Creativity, Flexiblity , Honesty, Dedication, Patience and self-control.
What are your weaknesses?: Gullible, Public speaking and presentation skills.
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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