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: DNS2175693 Name: PRIYANSHU PRASAD
  Address: 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9
Telephone No.: Mobile no: 7439063232
E-mail: prasadpriyanshu21@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426453248
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175693 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: DNS2175693
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PRIYANSHU PRASAD
Mother's Name: GITA DEBI PRASAD
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jun 2003 Nationality: INDIAN
Place of Birth: HOWRAH Personal Identification Mark: A SMALL MOLE IN LEFT SIDE OF FACE
Blood Group: AB - Address for Communication: 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9
State: West Bengal Country: India
Pin: 711109 City/District: HOWRAH
Mobile no: 7439063232 Telephone No. with STD code:
Aadhar Card No:447711864665 E-mail: prasadpriyanshu21@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: LAL BAHADUR PRASAD Relationship with candidate: FATHER
Parents Date of Birth: 02 Jan 1968 Parent's/Guardian's Occupation/Designation: SELF EMPLOY
   
Office Address:
   
Address: 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9 59,CHAND MARI ROAD , BAKULTALA , D.S LANE , HOWRAH-9
Country: India State: West Bengal
City/District: HOWRAH Pin: 711109
Tel: Mobile no.: 6290181304
Fax: Email: balajilbp68@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: LYCEUM ENGLISH MEDIUM SCHOOL School: S.E RLY MIXED HIGHER SECONDARY SCHOOL SANTRAGACHI
City: HOWRAH City: HOWRAH
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Centre code:
  Address of School/College: SANTRAGACHI HOWRAH
  Pin: 711111
  Contact Nos: 7439063232
  Email: prasadpriyanshu21@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 GATHERING INFORMATION AND STUDING MORE ABOUT MERCHANT NAVY
Why do you wish to join TMI?: I WOULD WISH TO JOIN TMI AS BECAUSE TMI PROVIDES A BETTER FACILITY IN TRANNING AS WELL AS THEORY AND PRACTICAL KNOWLEDGE.
What are your hobbies?: LISTING MUSIC , MAKING SMALL USEFUL ELECTRONIC DEVICE
What are your strengths?: I HAVE LEADERSHIP QUALITY , CREATIVITY, PATIENCE AND I HAVE WELL IMMUNE SYSTEM
What are your weaknesses?: MY INABILITY TO SHARE MY RESPONSIBILITIES
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 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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