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: DNS2176686 Name: Prabhakar Choudhary
  Address: line no 22 b blobk h no 257 golmuri tuiladungari jamshedpur line no 22 b blobk h no 257 golmuri tuiladungari jamshedpur
Telephone No.: Mobile no: 8434673114
E-mail: prabhakarchoudhary200@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: 434234514
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176686 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: DNS2176686
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Prabhakar Choudhary
Mother's Name: Malti Choudhary
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Dec 2002 Nationality: Indian
Place of Birth: Jharkhand Personal Identification Mark: cut on chin
Blood Group: AB + Address for Communication: line no 22 b blobk h no 257 golmuri tuiladungari jamshedpur line no 22 b blobk h no 257 golmuri tuiladungari jamshedpur
State: Jharkhand Country: India
Pin: 831003 City/District: jamshedpur
Mobile no: 8434673114 Telephone No. with STD code:
Aadhar Card No:505822710926 E-mail: prabhakarchoudhary200@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: kalicharan choudhary Relationship with candidate: father
Parents Date of Birth: 25 May 1996 Parent's/Guardian's Occupation/Designation: private service
   
Office Address:
   
Address: line no 22 b blobk h no 257 golmuri tuiladungari jamshedpur line no 22 b blobk h no 257 golmuri tuiladungari jamshedpur
Country: India State: Jharkhand
City/District: jamshedpur Pin: 831003
Tel: Mobile no.: 9934569964
Fax: Email: prabhakarchoudhary200@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: Motilal Nehru Public School School: Motilal Nehru Public School
City: Jamshedpur City: Jamshedpur
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 67 School/College Code:
  Centre code:
  Address of School/College: Pipe Line Road, Northern Town, Sakchi, Jamshedpur, Jharkhand, 831001
  Pin: 831001
  Contact Nos:
  Email: prabhakarchoudhary200@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would be spending my time in gaining more and more knowledge about the merchant navy field . It will help me in future .
Why do you wish to join TMI?: I wish to join TMI because it is one of the best maritime college in india with an excellent education system and the fee is also affordable and the placement is also the best.
What are your hobbies?: my hobby is to do net surfing and learn as much knowledge i can and sharpen my knowldege.
What are your strengths?: I believe I have strong leadership skills.
What are your weaknesses?: I get impatient when projects run beyond the deadline.
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form