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: DNS2178866 Name: RAJAT PATEL
  Address: VILL KANDHIYANI POST BARA
Telephone No.: 09936340975 Mobile no: 9336702893
E-mail: rajatpatel0310@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430535181
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178866 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: DNS2178866
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RAJAT PATEL
Mother's Name: RANU DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Oct 2003 Nationality: INDIA
Place of Birth: UNNAO Personal Identification Mark: A MARK IN FACE
Blood Group: AB + Address for Communication: VILL KANDHIYANI POST BARA
State: Uttar Pradesh Country: India
Pin: 209864 City/District: UNNAO
Mobile no: 9336702893 Telephone No. with STD code: 09936340975
Aadhar Card No: E-mail: rajatpatel0310@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJESH PATEL Relationship with candidate: FATHER
Parents Date of Birth: 02 Sep 1975 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VILL KANDHIYANI POST BARA
Country: India State: Uttar Pradesh
City/District: UNNAO Pin: 209863
Tel: 09936340975 Mobile no.: 9451292469
Fax: Email: rajatpatel0310@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Uttar Pradesh Board: Uttar Pradesh
School: L B P I C PATARI BHAGWANT NAGAR School: L B P I C PATARI BHAGWANT NAGAR
City: UNNAO City: UNNAO
English %: 85 Board Roll No./Seat No.: 0947784
Aggregate Percentage: 84 School/College Code: 1231
  Centre code: 3542
  Address of School/College: PATARI BHAGWANT NAGAR
  Pin: 209864
  Contact Nos:
  Email: rajatpatel0310@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 87 87
Chemistry 100 80 80
Mathematics 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 87.33
English 100 75 75
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: na
Why do you wish to join TMI?: na
What are your hobbies?: na
What are your strengths?: na
What are your weaknesses?: na
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 Class XII marksheet not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
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