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: DNS2178535 Name: Anshuman singh
  Address: Vill- basbitti PO- chaurahiya PS- sahiyara Dist - sitamarhi
Telephone No.: Mobile no: 9534496645
E-mail: sighanshuman9211@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 434349231
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178535 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: DNS2178535
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Anshuman singh
Mother's Name: Rita singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2001 Nationality: INDIAN
Place of Birth: Darbhanga Personal Identification Mark: A cut near left eye brow
Blood Group: B + Address for Communication: Vill- basbitti PO- chaurahiya PS- sahiyara Dist - sitamarhi
State: Bihar Country: India
Pin: 843302 City/District: Sitamarhi
Mobile no: 9534496645 Telephone No. with STD code:
Aadhar Card No:643436645394 E-mail: sighanshuman9211@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Santosh Kumar singh Relationship with candidate: Father
Parents Date of Birth: 23 Nov 1977 Parent's/Guardian's Occupation/Designation: Private job
   
Office Address:
   
Address: R s tank Laheriasarai Darbhanga
Country: India State: Bihar
City/District: Darbhanga Pin: 846001
Tel: Mobile no.: 8541999338
Fax: Email: santoshkumarhimalay@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: Bihar
School: Public school darbhanga School: M l s m college
City: Darbhanga City: Darbhanga
English %: 85 Board Roll No./Seat No.: 18010174
Aggregate Percentage: 81 School/College Code: 51005
  Centre code: 000
  Address of School/College: North harahi lake near darbhanga station , darbhanga
  Pin: 846001
  Contact Nos:
  Email: vidyanathjha@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 70 70
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 70.33
English 100 71 71
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I want to spend my time to learn anything that I do not know previously and want to play cricket and spend some time with my family friends and most important take a right decision to focus on my career.
Why do you wish to join TMI?: I want join TMI because TMI is the best institute in India for merchant navy.
What are your hobbies?: Listing music, playing cricket ,and reading books
What are your strengths?: I am a best learner
What are your weaknesses?: I never give up
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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