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: DNS2049961 Name: Vipul Kumar Dubey
  Address: Suryanagar Powai Road Vikhroli-W Mumbai-83 Suryanagar Powai Road Vikhroli-W Mumbai-83
Telephone No.: Mobile no: 9324541074
E-mail: dubeyvipulkumar16@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304854791
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049961 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: DNS2049961
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vipul Kumar Dubey
Mother's Name: Sarita Dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Mar 2001 Nationality: Indian
Place of Birth: Jaunpur Personal Identification Mark: NA
Blood Group: B + Address for Communication: Suryanagar Powai Road Vikhroli-W Mumbai-83 Suryanagar Powai Road Vikhroli-W Mumbai-83
State: Maharashtra Country: India
Pin: 400083 City/District: Mumbai
Mobile no: 9324541074 Telephone No. with STD code:
Aadhar Card No:357604421973 E-mail: dubeyvipulkumar16@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sabhapati Dubey Relationship with candidate: Father
Parents Date of Birth: 15 Jul 1971 Parent's/Guardian's Occupation/Designation: Priest
   
Office Address:
   
Address: - -
Country: India State: Maharashtra
City/District: Mumbai Pin: 400083
Tel: Mobile no.: 9819679671
Fax: Email: dubeyneha411@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Uttar Pradesh Board: CBSE
School: S D M H S S Sirkina Singhramau Jaunpur School: K V Bhandup Mumbai-83
City: Jaunpur City: Mumbai
English %: 87 Board Roll No./Seat No.: 4650135
Aggregate Percentage: 86 School/College Code: 400078
  Centre code: 4608
  Address of School/College: Bhandup Mumbai-83
  Pin: 400083
  Contact Nos:
  Email: kvbhandup78@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 65 65
Mathematics 100 55 55
Physics, Chemistry & Mathematics combined Percentage: 66
English 100 63 63
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation of IMUCET
Why do you wish to join TMI?: At present it is the best Maritime college for academic training and placement percentage.
What are your hobbies?: Always on time,listening music,nature loving
What are your strengths?: My parents
What are your weaknesses?: Due to some little time disturbance,sometimes i lost my full day time
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 not uploaded Class XII marksheet
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form