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: DNS2177824 Name: VISHAL KUMAR SAHU
  Address: MISHRA BANDHAURA VIJAYPUR,GOPALGANJ BIHAR
Telephone No.: Mobile no: 6203834913
E-mail: vishalsahu67166@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 429131858
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177824 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: DNS2177824
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VISHAL KUMAR SAHU
Mother's Name: MANORMA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Mar 2003 Nationality: INDIAN
Place of Birth: VIJAYPUR Personal Identification Mark: NO
Blood Group: A + Address for Communication: MISHRA BANDHAURA VIJAYPUR,GOPALGANJ BIHAR
State: Bihar Country: India
Pin: 841508 City/District: GOPALGANJ
Mobile no: 6203834913 Telephone No. with STD code:
Aadhar Card No:777614857420 E-mail: vishalsahu67166@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MANORMA DEVI Relationship with candidate: MOTHER
Parents Date of Birth: 01 Jan 1973 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: MISHRA BANDHAURA VIJAYPUR,GOPALGANJ BIHAR
Country: India State: Bihar
City/District: GOPALGANJ Pin: 841508
Tel: Mobile no.: 8757985921
Fax: Email: VISHALSAHU67166@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: NAV JEEVAN MISSION SCHOOL School: NEW CENTRAL PUBLIC ACADEMY
City: DEORIA City: BALLIA
English %: 74 Board Roll No./Seat No.: 23610584
Aggregate Percentage: 75 School/College Code: 70203
  Centre code: 7033
  Address of School/College: BELTHARA ROAD,BALLIA
  Pin: 221715
  Contact Nos:
  Email: VISHALSAHU67166@GMAIL.COM
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 58 58
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 63
English 100 76 76
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION IMU CET
Why do you wish to join TMI?: BECAUSE OF BEST COLLEGE AND BEST PLACEMENT
What are your hobbies?: TRAVELLING
What are your strengths?: HARD WORK
What are your weaknesses?: 0VER THINKING
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 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

 

___________________

Date ________________

 
Print Summary and Application Form