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: DNS2176106 Name: AKHAND TRIPATHI
  Address: JAGESHWAR PASI CHOUK HUMAYUNPUR NORTH GORAKHPUR
Telephone No.: Mobile no: 8303968587
E-mail: atkakhand@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426855454
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176106 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: DNS2176106
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AKHAND TRIPATHI
Mother's Name: MEERA TRIPATHI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Sep 2002 Nationality: INDIAN
Place of Birth: GORAKHPUR Personal Identification Mark: MOLE BELOW THE CHEST
Blood Group: O + Address for Communication: JAGESHWAR PASI CHOUK HUMAYUNPUR NORTH GORAKHPUR
State: Uttar Pradesh Country: India
Pin: 273015 City/District: GORAKHPUR
Mobile no: 8303968587 Telephone No. with STD code:
Aadhar Card No:909774202342 E-mail: atkakhand@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PREM NARAIN TRIPATHI Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1964 Parent's/Guardian's Occupation/Designation: PRIVATE TEACHER
   
Office Address:
   
Address: JAGESHWAR PASI CHOUK HUMAYUNPUR NORTH GORAKHPUR
Country: India State: Uttar Pradesh
City/District: GORAKHPUR Pin: 273015
Tel: Mobile no.: 9506759450
Fax: Email: atkakhand@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: SARASWATI SHISHU MANDIR HR SEC SCHOOL School: SARASWATI SHISHU MANDIR HR SEC SCHOOL
City: GORAKHPUR City: GORKHPUR
English %: 86 Board Roll No./Seat No.: 5673096
Aggregate Percentage: 89 School/College Code: 08655
  Centre code: 5171
  Address of School/College: SUBHASH CHANDRA BOSE NAGAR, SURYAKUND ,GORAKHPUR
  Pin: 273015
  Contact Nos:
  Email: ssmvmvsuryakundgkp@gmail.com
  Aggregate Percentage: 77
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 62 62
Chemistry 100 63 63
Mathematics 100 67 67
Physics, Chemistry & Mathematics combined Percentage: 64
English 100 90 90
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WANT TO SPEND MY TIME WITH PREPARATION OF IMUCET AND SPONSORSHIP EXAMS AS WELL AS OF MY PHYSICAL FITNESS.
Why do you wish to join TMI?: RESPECTED AUTHORITY, I WANT TO JOIN TMI TO BECOME A SUCCESSFUL SAILOR IN THE FUTURE. IN MY OPINION TMI IS BEST FOR THIS.
What are your hobbies?: PLAYING FOOTBALL , GOING TO THE GYM.
What are your strengths?: I BELIEVE IN TEAMWORK AND THAT IS MY STRENGTH.
What are your weaknesses?: I AM VERY SHY BUT I WILL RECTIFY IT AS SOON AS POSSIBLE.
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

 

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Date ________________

 
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