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: DNS2175830 Name: MANISH NAVIK
  Address: Sarauni pashchim Patti Kerakat jaunpur
Telephone No.: Mobile no: 8115200952
E-mail: navik480@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426597076
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175830 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: DNS2175830
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MANISH NAVIK
Mother's Name: MAYA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Feb 2002 Nationality: INDIAN
Place of Birth: KERAKAT Personal Identification Mark: Mole inside right ear
Blood Group: O + Address for Communication: Sarauni pashchim Patti Kerakat jaunpur
State: Uttar Pradesh Country: India
Pin: 222142 City/District: JAUNPUR
Mobile no: 8115200952 Telephone No. with STD code:
Aadhar Card No:488521998765 E-mail: navik480@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MAYA DEVI Relationship with candidate: Mother
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: Sarauni pashchim Patti Kerakat jaunpur
Country: India State: Uttar Pradesh
City/District: Jaunpur Pin: 222142
Tel: Mobile no.: 9936620383
Fax: Email: navik480@gmil.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: SD PUBLIC SCHOOL HURUHURI School: SD PUBLIC SCHOOL HURUHURI
City: JAUNPUR City: JAUNPUR
English %: 95 Board Roll No./Seat No.: 5697698
Aggregate Percentage: 87 School/College Code: 55300
  Centre code: 5201
  Address of School/College: SD PUBLIC SCHOOL HURUHURI KERAKAT JAUNPUR
  Pin: 222142
  Contact Nos:
  Email: sdpshuruhuri@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 69 69
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 69.33
English 100 72 72
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Self confidence
Why do you wish to join TMI?: TMI is good college
What are your hobbies?: Music
What are your strengths?: Confidence
What are your weaknesses?: Silent
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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