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: DNS2179165 Name: Vipul Kumar
  Address: S/O- Ramesh Thakur, Village-Ghatrao, Post- Ghatrao, Ghatrao Chaturbhuj, Vaishali
Telephone No.: Mobile no: 9330676209
E-mail: vipulmerchant123@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430333011
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179165 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: DNS2179165
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vipul Kumar
Mother's Name: Gita Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 May 2004 Nationality: Indian
Place of Birth: Vaishali Personal Identification Mark: Cut mark on neck
Blood Group: O + Address for Communication: S/O- Ramesh Thakur, Village-Ghatrao, Post- Ghatrao, Ghatrao Chaturbhuj, Vaishali
State: Bihar Country: India
Pin: 844119 City/District: Vaishali
Mobile no: 9330676209 Telephone No. with STD code:
Aadhar Card No: E-mail: vipulmerchant123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ramesh Thakur Relationship with candidate: Father
Parents Date of Birth: 08 Jun 1972 Parent's/Guardian's Occupation/Designation: Electro Technical Officer
   
Office Address:
   
Address: Mumbai Mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 400012
Tel: Mobile no.: 9967879762
Fax: Email: rameshmerchant@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Vishashvi Public School School: SURAJ DEO MEMORIAL SCHOOL
City: Patna City: Hajipur
English %: 57 Board Roll No./Seat No.:
Aggregate Percentage: 49 School/College Code:
  Centre code:
  Address of School/College: Surajdeo Nagar, Bagmali, Hajipur, Vaishali, Bihar
  Pin: 844101
  Contact Nos: 8434472004
  Email: info@surajdeomemorialschool.org
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend more time preparing for IMU CET and sponsorship exams, so that I can achieve good ranks and get selected in sponsorship program.
Why do you wish to join TMI?: My father is an Electro Technical Officer in Merchant Navy.A lot of inspiration come from him and I want to explore my career in sea. I want to see myself as merchant navy officer after my 12th standard. and hence interested to join DNS course. At present this is the best Maritime academy in India with the maximum training, knowledge and placement percentage.
What are your hobbies?: Playing Volleyball and kabaddi
What are your strengths?: Studying and learining science
What are your weaknesses?: I have little anger issues
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 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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