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: DNS2179570 Name: Satyam Garg
  Address: ward no 01 Rusulpur pitaunjia ,Sitamarhi,Bihar ward no 01 Rusulpur pitaunjia,sitamarhi ,Bihar
Telephone No.: Mobile no: 9123433242
E-mail: krsatyam9955@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 430863834
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179570 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: DNS2179570
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Satyam Garg
Mother's Name: Rinku Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Jan 2003 Nationality: Indian
Place of Birth: Sitamarhi Personal Identification Mark: Nothing
Blood Group: O + Address for Communication: ward no 01 Rusulpur pitaunjia ,Sitamarhi,Bihar ward no 01 Rusulpur pitaunjia,sitamarhi ,Bihar
State: Bihar Country: India
Pin: 843315 City/District: Sitamarhi
Mobile no: 9123433242 Telephone No. with STD code:
Aadhar Card No:801458575096 E-mail: krsatyam9955@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ajay kumar singh Relationship with candidate: Father
Parents Date of Birth: 03 Nov 1975 Parent's/Guardian's Occupation/Designation: Farming
   
Office Address:
   
Address: ward no 01 Rusulpur pitaunjia ,Sitamarhi,Bihar ward no 01 Rusulpur pitaunjia,sitamarhi ,Bihar
Country: India State: Bihar
City/District: Sitamarhi Pin: 843315
Tel: Mobile no.: 6204836041
Fax: Email: krsatyam9955@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: SITAMARHI CENTRAL SCHOOL PARASPATI DUMRA School: Sitamarhi Central school
City: Sitamarhi City: Sitamarhi
English %: 80 Board Roll No./Seat No.: 22672727
Aggregate Percentage: 75 School/College Code: 65492
  Centre code: 6719
  Address of School/College: Paraspatti Dumra Sitamarhi Bihar
  Pin: 843301
  Contact Nos:
  Email: scssonu@gmail.com
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 62 62
Chemistry 100 67 67
Mathematics 100 53 53
Physics, Chemistry & Mathematics combined Percentage: 60.67
English 100 85 85
   
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
11/2018 Science exhibition School level Second
12/2016 Cricket match School level winner
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Work on my communication skill during this period
Why do you wish to join TMI?: TMI Provides better platform to learn skills
What are your hobbies?: Playing Cricket and
What are your strengths?: keen learner and deligent
What are your weaknesses?: communication skills but i am working on it
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 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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