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: DNS2178784 Name: Abhishek Anand
  Address: ward no 10,khanjahanpur PS-Cheriabariyarpur
Telephone No.: 7776092697 Mobile no: 7979886698
E-mail: aanandtraders2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 429675543
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178784 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: DNS2178784
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abhishek Anand
Mother's Name: Sulochana Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Jul 2003 Nationality: Indian
Place of Birth: Khanjahapur Personal Identification Mark: A mole on forehead
Blood Group: O + Address for Communication: ward no 10,khanjahanpur PS-Cheriabariyarpur
State: Bihar Country: India
Pin: 851132 City/District: Begusarai
Mobile no: 7979886698 Telephone No. with STD code: 7776092697
Aadhar Card No:358475938221 E-mail: aanandtraders2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dharmendra Kumar Relationship with candidate: Father
Parents Date of Birth: 26 Jan 1981 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Ward No. 10, AT and Post - Khanjahanpur, PS- Cheriya Bariyarpur Ward 10
Country: India State: Bihar
City/District: BEGUSARAI Pin: 851132
Tel: 07776092697 Mobile no.: 9798532080
Fax: Email: rajeevranjan2902@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: M P I SR SEC ANGLO PUB SCHL HARDIA BEGUSARAI BR School: D M P HOLY MISSION SCHOOL
City: BEGUSARAI City: ROSERA
English %: 79 Board Roll No./Seat No.: 22668186
Aggregate Percentage: 79 School/College Code: 65576
  Centre code: 6704
  Address of School/College: ROSERA,SAMASTIPUR,BIHAR
  Pin: 848210
  Contact Nos:
  Email: dmphms@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 66 66
Chemistry 100 79 79
Mathematics 100 51 51
Physics, Chemistry & Mathematics combined Percentage: 65.33
English 100 83 83
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2018 cricket school man of match
10/2017 running school 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Body building, online classes, worked on english communication, reading and watching news,movie respectively
Why do you wish to join TMI?: suggested by senior
What are your hobbies?: Running,Playing cricket and chess,listening music
What are your strengths?: My father is my biggest strength. I am a Hard working, self motivated and punctual person.
What are your weaknesses?: I feel uncomfortable untill i finish my work.
How do you intend to meet the expenses of this program?: Bank Loan,Other - By Mortgaging or selling of the land.
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate 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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