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 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049669 Name: VISHAL KUMAR
  Address: ROSHAN VILLA, NEAR BSNL TOWER SAINIK COLONY BOOTYMORE, RANCHI
Telephone No.: Mobile no: 8757791667
E-mail: vishalkumar8757791667@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: 304193560
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049669 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please ensure that you send the following documents with your application.
  1. Write Application for Diploma in Nautical Science, Dossier ID on the envelope
  2. Print the application form duly filled
  3. Print the application summary duly signed where indicated
  4. Three identical recent passport size photographs with name & dossier id written at the back
  5. Self – attested copies of Class X marksheet and Pass Certificate
  6. Self – attested copies of Class XII marksheet and Pass Certificate (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  7. Self – attested copies of class XII marksheet downloaded from internet (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  8. Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
  9. Self – attested copy of birth certificate (for proof of age and place of birth)
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. Copy of Class XII board exam admit card for those appearing in 2020
  12. A non-refundable Demand Draft of Rs. 200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  13. Please keep a copy of the form for your reference for communicating with the Institute

Send Duly filled application forms to:

Admissions Cell (DNS)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507
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 - 2020

 
  Dossier ID: DNS2049669
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VISHAL KUMAR
Mother's Name: RANI KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Feb 2002 Nationality: IN
Place of Birth: RANCHI Personal Identification Mark: MOLE ON NECK
Blood Group: O + Address for Communication: ROSHAN VILLA, NEAR BSNL TOWER SAINIK COLONY BOOTYMORE, RANCHI
State: Jharkhand Country: India
Pin: 835217 City/District: RANCHI
Mobile no: 8757791667 Telephone No. with STD code:
Aadhar Card No:247634920940 E-mail: vishalkumar8757791667@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJEEV KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 15 Feb 1974 Parent's/Guardian's Occupation/Designation: Sub SANJEEV KUMAR
   
Office Address:
   
Address: ROSHAN VILLA, NEAR BSNL TOWER SAINIK COLONY BOOTYMORE, RANCHI
Country: India State: Jharkhand
City/District: RANCHI Pin: 835217
Tel: Mobile no.: 7979801351
Fax: Email: vishalkumar8757791667@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: APS RANCHI School: APS RANCHI
City: RANCHI City: RANCHI
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: APS SCHOOL RANCHI, DIPATOLI CANTT
  Pin: 834009
  Contact Nos:
  Email: asr8208@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2014 SWC BADMINTON CHAMPIONSHIP INTER COMMAND 1
12/2017 NCC CERTIFICATE STATE B
10/2018 IEO INTERNATIONAL 2001
10/2020 SWC TABLE TENNIS CHAMPIONSHIP INTER COMMAND 2
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
12/2015 CATC 10
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: This is the high time to improve my personality and work upon my strength and weaknesses
Why do you wish to join TMI?: Because TMI is best institute in Merchant navy.
What are your hobbies?: Playing sports and reading defense related blogs
What are your strengths?: Trustworthy
What are your weaknesses?: Overconfident
How do you intend to meet the expenses of this program?: Own Resources,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 Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form