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: DNS2179062 Name: SHUBHAM SINGH
  Address: S H 5/155 B LAXMANPUR SHIVPUR, VARANASI
Telephone No.: Mobile no: 7752930102
E-mail: smahuar2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 430068925
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179062 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: DNS2179062
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHUBHAM SINGH
Mother's Name: RINKU SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Apr 2003 Nationality: INDIAN
Place of Birth: RAMGARH Personal Identification Mark: MOLE ON NOSE
Blood Group: AB + Address for Communication: S H 5/155 B LAXMANPUR SHIVPUR, VARANASI
State: Uttar Pradesh Country: India
Pin: 221003 City/District: VARANASI
Mobile no: 7752930102 Telephone No. with STD code:
Aadhar Card No:388673386125 E-mail: smahuar2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SUNIL KUMAR SINGH Relationship with candidate: FATHER
Parents Date of Birth: 11 Dec 1978 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VILL- MAHUAR POST OFFICE- SEHUKA POLICE STATION- RAMGARH
Country: India State: Bihar
City/District: KAIMUR BHABHUA Pin: 821110
Tel: Mobile no.: 9889757231
Fax: Email: sramgarh2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: UDAI PRATAP PUBLIC SCHOOL School: SANT ATULANAND RESIDENTIAL ACADEMY
City: VARANASI City: VARANASI
English %: 78 Board Roll No./Seat No.: 23716425
Aggregate Percentage: 78 School/College Code: 71330
  Centre code: 7312
  Address of School/College: VILL-HOLAPUR,PARMANANDPUR,PARGANA,SHIVPUR,VARANASI
  Pin: 221003
  Contact Nos:
  Email: atulanandacademy@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 55 55
Mathematics 100 59 59
Physics, Chemistry & Mathematics combined Percentage: 60.33
English 100 71 71
   
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
09/2016 CRICKET SCHOOL LEVEL CAPTAIN
08/2017 BASKETBALL SCHOOL LEVEL PLAYER
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
02/2016 SCOUT GUIDE 1 MONTH
01/2018 SCOUT GUIDE 1 MONTH
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spend time for the preparation of IMU-CET and sponsorship as well as i do personality development classe.
Why do you wish to join TMI?: Because TMI is most reputed college in India and it provides more opportunities to students than other colleges.
What are your hobbies?: In free times I love to do cooking and singing.
What are your strengths?: I am adaptable, hard working and keen learner.
What are your weaknesses?: Sometimes I get overthinking .
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 not uploaded
 
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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