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: DNS2176029 Name: Swagata Sasmal
  Address: Khasarban, Raghunathbari, Purba Medinipur, West Bengal Khasarban, Raghunathbari, Purba Medinipur, West Bngal
Telephone No.: Mobile no: 9749260522
E-mail: swagatasasmal222@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426804064
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176029 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: DNS2176029
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Swagata Sasmal
Mother's Name: Sarama Sasmal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Aug 2002 Nationality: Indian
Place of Birth: Khasarban Personal Identification Mark: A black mole on face
Blood Group: A + Address for Communication: Khasarban, Raghunathbari, Purba Medinipur, West Bengal Khasarban, Raghunathbari, Purba Medinipur, West Bngal
State: West Bengal Country: India
Pin: 721634 City/District: Tamluk
Mobile no: 9749260522 Telephone No. with STD code:
Aadhar Card No:766388385982 E-mail: swagatasasmal222@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Goutam Sasmal Relationship with candidate: Father
Parents Date of Birth: 04 Jan 1977 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Khasarban, Raghunathbari, Purba Medinipur, West Bengal Khasarban, Raghunathbari, Purba Medinipur, West Bengal
Country: India State: West Bengal
City/District: Tamluk Pin: 721634
Tel: Mobile no.: 9635960123
Fax: Email: swagatasasmal222@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: West Bengal Board: West Bengal
School: Raghunathbari Ramtarak High School School: Raghunathbari Ramtarak High School
City: Tamluk City: Tamluk
English %: 60 Board Roll No./Seat No.: 313211-1056
Aggregate Percentage: 67 School/College Code: 105135
  Centre code: 19193101107
  Address of School/College: Raghunathbari, Raghunathbari, Purba Medinipur, West Bengal
  Pin: 721634
  Contact Nos: 09635960123
  Email: swagatasasmal222@gmail.com
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 66 66
Chemistry 100 65 65
Mathematics 100 50 50
Physics, Chemistry & Mathematics combined Percentage: 60.33
English 100 61 61
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading news paper, listening song, and preparation
Why do you wish to join TMI?: This is one of the best maritime training
What are your hobbies?: coin collection
What are your strengths?: I am always be positive
What are your weaknesses?: I am not fluent in English
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
 
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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