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: DNS2176207 Name: ADARSH KUMAR
  Address: VILL,BISHANPUR PS,SIKANDRA PO,KARMA VILL,BISHANPUR PS,SIKANDRA PO,KARMA
Telephone No.: Mobile no: 6203180146
E-mail: adarshkumar811315@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426933369
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176207 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: DNS2176207
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ADARSH KUMAR
Mother's Name: NELU DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Jan 2003 Nationality: INDIAN
Place of Birth: BISHANPUR Personal Identification Mark: SMALLPOX MARKS IN THE LEFT CHEEK
Blood Group: B + Address for Communication: VILL,BISHANPUR PS,SIKANDRA PO,KARMA VILL,BISHANPUR PS,SIKANDRA PO,KARMA
State: Bihar Country: India
Pin: 811315 City/District: JAMUI
Mobile no: 6203180146 Telephone No. with STD code:
Aadhar Card No:997281100090 E-mail: adarshkumar811315@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ANURAG KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1974 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VILL,BISHANPUR PS,SIKANDRA PO,KARMA VILL,BISHANPUR PS,SIKANDRA PO,KARMA
Country: India State: Bihar
City/District: JAMUI Pin: 811315
Tel: Mobile no.: 9199767849
Fax: Email: SWETABHARTI1232000@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: SKV SIKANDRA JAMUI School: RAMDHARI SINGH HIGH SCHOOL MATASI LAKHISARI
City: JAMUI City: LAKHISARAI
English %: 36 Board Roll No./Seat No.: 20010018
Aggregate Percentage: 49 School/College Code: 85040
  Centre code: 197
  Address of School/College: VILL MATASI PO MATASI DISTRICT LAKHISARAI
  Pin: 811311
  Contact Nos: 6203180146
  Email: ADARSHKUMAR811315@GMAIL.COM
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 53 53
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 62.33
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 ?: I WILL PREPARE FOR REGULAR IMU AND TMI WITH TIME TABLE
Why do you wish to join TMI?: TOLANI MARITIME UNIVERCITY IS THE BEST MARITIME COLLAGE IN INDIA AND ITS INFRASTRUCTURE FACULTY AND PLACEMENT
What are your hobbies?: CRICKET
What are your strengths?: I REGULARLY WRITE MY ASSIGMENT AND ALWAYS SUBMIT THEM ON TIME
What are your weaknesses?: I TRUST THE PEOPLE VERY EASILY I ALWAYS COMPLETE MY WORK EVEN IF I HAVE TO TAKE A LOT OF STRESS
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 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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