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: DNS2181501 Name: HIMANSHU KUMAR
  Address: VILL POST RATANPURA POLICE STATION GOPALPUR DISTRICT GOPALGANJ
Telephone No.: +91 6203101729 Mobile no: 6203101729
E-mail: hkg43700@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432957537
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2181501 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: DNS2181501
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HIMANSHU KUMAR
Mother's Name: LILAWATI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Aug 2003 Nationality: INDIAN
Place of Birth: BIHAR Personal Identification Mark: A mole on left side Chin
Blood Group: A + Address for Communication: VILL POST RATANPURA POLICE STATION GOPALPUR DISTRICT GOPALGANJ
State: Bihar Country: India
Pin: 841501 City/District: GOPALGANJ
Mobile no: 6203101729 Telephone No. with STD code: +91 6203101729
Aadhar Card No:988023314592 E-mail: hkg43700@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SURESH PRASAD Relationship with candidate: FATHER
Parents Date of Birth: 15 Feb 1970 Parent's/Guardian's Occupation/Designation: GOVERNMENT TEACHER
   
Office Address:
   
Address: VILL POST RATANPURA POLICE STATION GOPALPUR DISTRICT GOPALGANJ
Country: India State: Bihar
City/District: GOPALGANJ Pin: 841501
Tel: 06203101729 Mobile no.: 8709045587
Fax: Email: hkg43700@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Bihar
School: BIHAR VIKAS VIDYALAYA School: B.B.N COLLEGE
City: KUCHAIKOTE City: GOPALGANJ
English %: 86 Board Roll No./Seat No.: 20010258
Aggregate Percentage: 86 School/College Code: 43013
  Centre code: 10151000105
  Address of School/College: BATHUA BAZAR , GOPALGANJ, BIHAR
  Pin: 841425
  Contact Nos:
  Email: bkmprincipalbbnc.bathua@gmail.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 81 81
Mathematics 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 84.67
English 100 82 82
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparations for exams after 12th like Jee Mains and NDA and IMUCET.
Why do you wish to join TMI?: All of my senior suggested that this is the best affiliated institute for DNS .
What are your hobbies?: Photography,Video editing and Drawing
What are your strengths?: Leadership Abilities , Sincerely about my work.
What are your weaknesses?: Taking Things personally , dont like conflicts.
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 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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