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: DNS2176098 Name: Aman Raj
  Address: Crp Colony Behind Shiv Durga Mandir Near Patel Chowk, Harmu
Telephone No.: Mobile no: 8877800800
E-mail: ar29011707@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426837316
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176098 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2176098
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aman Raj
Mother's Name: Smita Verma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 May 2002 Nationality: Indian
Place of Birth: Muzaffarpur Personal Identification Mark: Mole on left hand palm
Blood Group: A + Address for Communication: Crp Colony Behind Shiv Durga Mandir Near Patel Chowk, Harmu
State: Jharkhand Country: India
Pin: 834002 City/District: Ranchi
Mobile no: 8877800800 Telephone No. with STD code:
Aadhar Card No:488213329632 E-mail: ar29011707@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Niraj Kumar Relationship with candidate: Father
Parents Date of Birth: 15 Jul 1970 Parent's/Guardian's Occupation/Designation: Serviceman
   
Office Address:
   
Address: ARB Bearing Ltd. H-22 Udyog Nagar Nangloi
Country: India State: Delhi
City/District: New Delhi Pin: 110041
Tel: 09835243386 Mobile no.: 9835243386
Fax: 911125475455 Email: niraj_ashu@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: NIOS
School: St. Francis. School School: Dr. Shaligram Mishra College
City: Ranchi City: Samastipur
English %: 82 Board Roll No./Seat No.: 030366193001
Aggregate Percentage: 75 School/College Code: 030366
  Centre code: 030178
  Address of School/College: Dhrubgama, Tehsil-Kalyanpur, Samastipur, Bihar
  Pin: 848160
  Contact Nos:
  Email: isc@nios.ac.in
  Aggregate Percentage: 60
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 60 60
Chemistry 100 66 66
Mathematics 100 55 55
Physics, Chemistry & Mathematics combined Percentage: 60.33
English 100 58 58
   
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
09/2017 Badminton Zonals none
11/2018 Badminton Regionals none
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for IMCET and Sponsorship exams, improving my videography skills
Why do you wish to join TMI?: I wish to join TMI because its one of the best training institute in India.
What are your hobbies?: videography, playing badminton, listening music, playing online platform games
What are your strengths?: commnication skills, cooperative, punctual, never give up
What are your weaknesses?: Attempting to please everyone
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 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

 

___________________

Date ________________

 
Print Summary and Application Form