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: DNS2176869 Name: GOPAL KUMAR
  Address: VILL NARHAT PO NARHAT PS NARHAT
Telephone No.: Mobile no: 9110090674
E-mail: gopalnarhat35@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 427599025
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176869 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: DNS2176869
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GOPAL KUMAR
Mother's Name: ANAMIKA ITULYA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Aug 2001 Nationality: INDIAN
Place of Birth: NARHAT Personal Identification Mark: A MOLE ON CHEEK
Blood Group: O + Address for Communication: VILL NARHAT PO NARHAT PS NARHAT
State: Bihar Country: India
Pin: 805122 City/District: NAWADA
Mobile no: 9110090674 Telephone No. with STD code:
Aadhar Card No:922485834911 E-mail: gopalnarhat35@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AVINASH KUMAR KASHYAP Relationship with candidate: FATHER
Parents Date of Birth: 10 May 1976 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VILL NARHAT PO NARHAT PS NARHAT
Country: India State: Bihar
City/District: NAWADA Pin: 805122
Tel: Mobile no.: 9110090674
Fax: Email: gopalnarhat35@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2019
Board: Bihar Board: Bihar
School: INTER SCHOOL NARHAT NAWADAH School: NARDIGANJ COLLEGE NARDIGANJ NAWADAH
City: NAWADA City: NAWADA
English %: 60 Board Roll No./Seat No.: 19010505
Aggregate Percentage: 49 School/College Code: 23010
  Centre code: 23010
  Address of School/College: NARDIGANJ NAWADA BIHAR
  Pin: 805109
  Contact Nos:
  Email: gopalnarhat35@gmail.com
  Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 63 63
Mathematics 100 73 73
Physics, Chemistry & Mathematics combined Percentage: 69
English 100 48 48
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: SELF STUDY AND PLAYING OUTDOOR GAMES
Why do you wish to join TMI?: BECAUSE ONE OF THE BEST COLLEGE IN INDIA
What are your hobbies?: STUDY BOOKS AND PLAYING VOLLEYBALL
What are your strengths?: SELF CONFIDENCE AND FAMILY SUPPORT
What are your weaknesses?: I REALLY CAN NOT THINK OF A WEAKNESS
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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
 
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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