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: DNS2176341 Name: VICKY PASWAN
  Address: VILL- TUNGI PO- TUNGI PS- HISUA
Telephone No.: Mobile no: 7645964984
E-mail: force1893@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: 427243195
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176341 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: DNS2176341
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VICKY PASWAN
Mother's Name: SANKUTI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Apr 2001 Nationality: INDIAN
Place of Birth: TUNGI Personal Identification Mark: A CUT MARK ON THE LEFT ELBOW
Blood Group: A + Address for Communication: VILL- TUNGI PO- TUNGI PS- HISUA
State: Bihar Country: India
Pin: 805129 City/District: NAWADA
Mobile no: 7645964984 Telephone No. with STD code:
Aadhar Card No: E-mail: force1893@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: UMESH PASWAN Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1975 Parent's/Guardian's Occupation/Designation: LABOUR
   
Office Address:
   
Address: VILL-TUNGI PO-TUNGI PS-HISUA
Country: India State: Bihar
City/District: NAWADA Pin: 805129
Tel: Mobile no.: 8084031893
Fax: Email: vickypaswan1893@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Bihar
School: JAWAHAR NAVODAYA VIDYALAYA PO JETHIAN GAYA BIHAR School: WARSI COLLEGE PANDEY GANGOUT NAWADAH
City: GAYA City: NAWADA
English %: 86 Board Roll No./Seat No.: 20010708
Aggregate Percentage: 87 School/College Code: 23008
  Centre code: 134
  Address of School/College: PANDEY GANGOUT NAWADA
  Pin: 805107
  Contact Nos:
  Email: upsckumar14@gmail.com
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 72 72
Mathematics 100 65 65
Physics, Chemistry & Mathematics combined Percentage: 70.67
English 100 75 75
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2015 THE BHARAT SCOUTS GUIDES 7 DAYS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: STUDY AT HOME
Why do you wish to join TMI?: AIM
What are your hobbies?: PLAYING BADMINTAN
What are your strengths?: A CAN SAVE OUR TIME AND WORK PROPERLY
What are your weaknesses?: WATCHING MOVIE
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 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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