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: DNS2175974 Name: Siddharth kumar
  Address: Ward no.4 sitalpur babutola,p.o.-sitalpur,p.s.- Dighwra,Dust.-saran Ward no.4 sitalpur babutola,p.s.- dighwara, saran
Telephone No.: Mobile no: 8851218429
E-mail: siddharthkishan1@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 426729037
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175974 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: DNS2175974
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Siddharth kumar
Mother's Name: Kalpana Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jun 2003 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: Mole on cheek
Blood Group: O - Address for Communication: Ward no.4 sitalpur babutola,p.o.-sitalpur,p.s.- Dighwra,Dust.-saran Ward no.4 sitalpur babutola,p.s.- dighwara, saran
State: Bihar Country: India
Pin: 841221 City/District: Saran
Mobile no: 8851218429 Telephone No. with STD code:
Aadhar Card No:665557111065 E-mail: siddharthkishan1@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vikash Relationship with candidate: Son
Parents Date of Birth: 04 Nov 1971 Parent's/Guardian's Occupation/Designation: Class 12th
   
Office Address:
   
Address: Ward no.4 sitalpur babutola,p.o.-sitalpur,p.s.- Dighwra,Dust.-saran Ward no. 4 sitalpur babutola,dighwara,saran
Country: India State: Bihar
City/District: Saran Pin: 841221
Tel: Mobile no.: 8468002790
Fax: Email: siddharthjnv100@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: Jawahar navodaya vidyalya School: R.J.S. college
City: Amroha City: Dighwara
English %: 89 Board Roll No./Seat No.: 21010422
Aggregate Percentage: 76 School/College Code: 41030
  Centre code: 10170308703
  Address of School/College: Dighwara,saran
  Pin: 841207
  Contact Nos:
  Email: rjscollege84@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 63 63
Mathematics 100 67 67
Physics, Chemistry & Mathematics combined Percentage: 67
English 100 86 86
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Searching job and more spending time to know about merchant navy
Why do you wish to join TMI?: Because it is one the best college in india
What are your hobbies?: Singing and playing
What are your strengths?: Ability to do any kind of work and will to know about new thing
What are your weaknesses?: Never board with same 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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