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: DNS2049696 Name: Sachin Kumar
  Address: Patel Nagar sikandarpur Bhagalpur Bihar 812005 Patel Nagar sikandarpur Bhagalpur Bihar 812005
Telephone No.: Mobile no: 7050220694
E-mail: sachinmariner.official@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304242188
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049696 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: DNS2049696
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sachin Kumar
Mother's Name: Babita Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jan 2002 Nationality: Indian
Place of Birth: Bhagalpur Personal Identification Mark: Black mark on right hand palm
Blood Group: A + Address for Communication: Patel Nagar sikandarpur Bhagalpur Bihar 812005 Patel Nagar sikandarpur Bhagalpur Bihar 812005
State: Bihar Country: India
Pin: 812005 City/District: Bhagalpur
Mobile no: 7050220694 Telephone No. with STD code:
Aadhar Card No: E-mail: sachinmariner.official@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Kumar Mandal Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1972 Parent's/Guardian's Occupation/Designation: Private job
   
Office Address:
   
Address: Patel Nagar sikandarpur Bhagalpur Bihar 812005 Patel Nagar sikandarpur Bhagalpur Bihar 812005 Sanjay Kumar Mandal gram sonudih,post tarar, Bhagalpur 813205
Country: India State: Bihar
City/District: Bhagalpur Pin: 812005
Tel: Mobile no.: 8789778304
Fax: Email: sachinkumarsingh.nk79@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Bihar
School: Paramount academy School: MN college amba Bhagalpur
City: Munger City: Bhagalpur
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: MN college amba shakund .
  Pin: 812005
  Contact Nos:
  Email: sachinkumarsingh.nk79@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:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2017 Diploma in computer application 6months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Join good environment of English speaking person to improve our communication skills for better future .
Why do you wish to join TMI?: It is one of the best institute of marine engineering and nautical science . It has a good reputation .many foreign companies conduct regular campus interview for placement. and many more
What are your hobbies?: Cycling and running
What are your strengths?: Positive attitude and self motivated
What are your weaknesses?: I have trouble saying no to anyone.
How do you intend to meet the expenses of this program?: Own Resources,Other - Family support
 
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 ________________

 
Print Summary and Application Form