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: DNS2179403 Name: Aditya Raj
  Address: Lakhisarai road hansdih jamui Tiger Hill hansdih jamui
Telephone No.: Mobile no: 9102627798
E-mail: adi9102627798@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430391470
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179403 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: DNS2179403
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aditya Raj
Mother's Name: Rina devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Mar 2002 Nationality: Indian
Place of Birth: Bihar Personal Identification Mark: One mole on right arm
Blood Group: O + Address for Communication: Lakhisarai road hansdih jamui Tiger Hill hansdih jamui
State: Bihar Country: India
Pin: 811307 City/District: jamui
Mobile no: 9102627798 Telephone No. with STD code:
Aadhar Card No:581499669399 E-mail: adi9102627798@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Arvind kumar Relationship with candidate: Father
Parents Date of Birth: 15 Mar 1976 Parent's/Guardian's Occupation/Designation: EX ARMY
   
Office Address:
   
Address: Lakhisarai road hansdih jamui Tiger Hill hansdih jamui
Country: India State: Bihar
City/District: jamui Pin: 811307
Tel: Mobile no.: 8709165727
Fax: Email: gautanraj027@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: St.Joseph school School: Vivekananda Vidya Mandir
City: jamui City: Ranchi
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Centre code:
  Address of School/College: sector 2,Dhurwa ranchi
  Pin: 834004
  Contact Nos:
  Email: adi9102627798@gmail.com
  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 will develop my drawing skill.
Why do you wish to join TMI?: TMI is a reputed college with good placement record.
What are your hobbies?: sketching and listening music.
What are your strengths?: strong enough to take decision by myself.
What are your weaknesses?: Honesty
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

 

___________________

Date ________________

 
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