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: DNS2180240 Name: Ashwani Kumar
  Address: Sarai, Patna 801113 45, Shivpuram Colony, Vijaynagar ,Patna.
Telephone No.: 7366862096 Mobile no: 7366862096
E-mail: ashwani.kumar.skss.12a@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: 431179366
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2180240 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: DNS2180240
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashwani Kumar
Mother's Name: Nirmala Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Aug 2002 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: On right hand
Blood Group: B + Address for Communication: Sarai, Patna 801113 45, Shivpuram Colony, Vijaynagar ,Patna.
State: Bihar Country: India
Pin: 800025 City/District: Patna
Mobile no: 7366862096 Telephone No. with STD code: 7366862096
Aadhar Card No:520218098974 E-mail: ashwani.kumar.skss.12a@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Aashish Kumar Relationship with candidate: Brother
Parents Date of Birth: 08 Aug 1996 Parent's/Guardian's Occupation/Designation: Student
   
Office Address:
   
Address: Sarai, Patna 801113 45, Shivpuram Colony, Vijaynagar ,Patna.
Country: India State: Bihar
City/District: Patna Pin: 800025
Tel: 07366862096 Mobile no.: 7488194079
Fax: Email: aashish16me002@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: St.K.S.School School: St Karens Secondary school
City: Patna City: Patna
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Khagual Road Danapur,Patna.
  Pin: 801503
  Contact Nos:
  Email: contact@stkarenssecondaryschool.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 would like to go a solo trip to Darjeeling.
Why do you wish to join TMI?: TMI has great and experienced faculties .It has good placement records and big playground .
What are your hobbies?: Cycling, playing crickets and photography.
What are your strengths?: I can lead the task under good and bad circumstances.
What are your weaknesses?: I believes anyone easily.
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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