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: DNS2049843 Name: SANDEEP KUMAR SINGH
  Address: AT DHANICHHA PO DURGAWATI PS DURGAWATI
Telephone No.: Mobile no: 7050327205
E-mail: sandeepebm123@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: 304645343
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049843 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: DNS2049843
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SANDEEP KUMAR SINGH
Mother's Name: BABY DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Feb 2003 Nationality: INDIAN
Place of Birth: KAIMUR Personal Identification Mark: A CUT MARK ON LFET EYEBROW
Blood Group: O - Address for Communication: AT DHANICHHA PO DURGAWATI PS DURGAWATI
State: Bihar Country: India
Pin: 821105 City/District: KAIMUR
Mobile no: 7050327205 Telephone No. with STD code:
Aadhar Card No:453568815101 E-mail: sandeepebm123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRADEEP SINGH Relationship with candidate: FATHER
Parents Date of Birth: 15 May 1972 Parent's/Guardian's Occupation/Designation: ENGINEER
   
Office Address:
   
Address: CHENNAI CHENNAI
Country: India State: Tamil Nadu
City/District: CHENNAI Pin: 600018
Tel: Mobile no.: 9701268302
Fax: Email: pksingh7272@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: DAV PUBLIC SCHOOL School: SHARDA BRAJRAJ HIGH SCHOOL
City: RATWAR City: MOHANIA
English %: 57 Board Roll No./Seat No.: 19010104
Aggregate Percentage: 58 School/College Code: 16050
  Centre code: 16050
  Address of School/College: MOHANIA KAIMUR
  Pin: 821109
  Contact Nos:
  Email: tausif0210@gmail.com
  Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 61 61
Chemistry 100 66 66
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 61.33
English 100 60 60
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARED FOR IMU CET
Why do you wish to join TMI?: BECAUSE IT IS ONE OF THE BEST MARITIME UNIVERSITY
What are your hobbies?: PLAYING CRICKETING
What are your strengths?: SPEAK TRUTH
What are your weaknesses?: DONT LIKE LIE
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

 

___________________

Date ________________

 
Print Summary and Application Form