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: DNS2175670 Name: SAURABH KUMAR
  Address: KAREEM NAGAR GOBAR CHOWKI TAJGANJ AGRA
Telephone No.: Mobile no: 6395927735
E-mail: saurabh20kumar08@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426437941
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175670 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: DNS2175670
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SAURABH KUMAR
Mother's Name: SUNITA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Aug 2002 Nationality: INDIAN
Place of Birth: AGRA Personal Identification Mark: CUT MARK ON FOREHEAD
Blood Group: AB + Address for Communication: KAREEM NAGAR GOBAR CHOWKI TAJGANJ AGRA
State: Uttar Pradesh Country: India
Pin: 282001 City/District: AGRA
Mobile no: 6395927735 Telephone No. with STD code:
Aadhar Card No:251933273878 E-mail: saurabh20kumar08@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: VEEKAL SINGH Relationship with candidate: FATHER
Parents Date of Birth: 01 Jun 1967 Parent's/Guardian's Occupation/Designation: BUSINESSMAN
   
Office Address:
   
Address: KAREEM NAGAR GOBAR CHOWKI TAJGANJ AGRA
Country: India State: Uttar Pradesh
City/District: AGRA Pin: 282001
Tel: Mobile no.: 9412010184
Fax: Email: saurabh20kumar08@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: COLONELS BRIGHTLAND PUBLIC SCHOOL School: COLONELS BRIGHTLAND PUBLIC SCHOOL
City: AGRA City: AGRA
English %: 80 Board Roll No./Seat No.: 21600644
Aggregate Percentage: 84 School/College Code: 60384
  Centre code: 6002
  Address of School/College: KALAL KHERIA LAKAWLI UTTARPRADESH
  Pin: 282006
  Contact Nos:
  Email: saurabh20kumar08@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 79 79
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 71.67
English 100 82 82
   
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
04/2018 relay race interhouse 1
08/2019 vigyanchakshu interhouse 1
04/2019 200 meter race interhouse 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I SPEND MY TIME AFTER COMPLETING CLASS XII FINAL EXAMS AND BEFORE JOINING COLLEGE BY THE PREPARATION OF MY EXAMINATION AND SPEND MY TIME WITH MY FAMILY AND FRIENDS
Why do you wish to join TMI?: I WHISH TO JOIN TMI BECAUSE IN TMI HAVE A LARGE NUMBER AND ALMOST ALL TYPE OF FLEETS AND A WELL RENOWED NAME IN SHIPPING WORLD.
What are your hobbies?: READING NEWSPAPER AND LEARNING ABOUT NEW THINGS BY THROUGH FRIENDS
What are your strengths?: MY STRENGHS ARE SELF-CONFIDENCE,HARDWORK AND SMARTWORK
What are your weaknesses?: MY WEAKNESS IS I FEEL UNCOMFORTABLE WHEN I DID NOT FINISH MY WORK
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

 

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Date ________________

 
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