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: DNS2050045 Name: PAWAN KUMAR
  Address: VEER KUNWAR SINGH COLONY VIRAT NAGAR
Telephone No.: Mobile no: 8434370782
E-mail: upawan7273@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304990398
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050045 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: DNS2050045
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PAWAN KUMAR
Mother's Name: SHYAMA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Mar 2002 Nationality: INDIAN
Place of Birth: BUXAR Personal Identification Mark: Cuts On Left Cheek
Blood Group: O + Address for Communication: VEER KUNWAR SINGH COLONY VIRAT NAGAR
State: Bihar Country: India
Pin: 802101 City/District: BUXAR
Mobile no: 8434370782 Telephone No. with STD code:
Aadhar Card No:697545999692 E-mail: upawan7273@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHYAMA DEVI Relationship with candidate: MOTHER
Parents Date of Birth: 01 Jan 1969 Parent's/Guardian's Occupation/Designation: Housewife
   
Office Address:
   
Address: VEER KUNWAR SINGH COLONY VIRAT NAGAR
Country: India State: Bihar
City/District: Buxar Pin: 802101
Tel: Mobile no.: 8529736948
Fax: Email: beingiitd@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DAV PUBLIC SCHOOL School: Private candidate CBSE
City: BUXAR City: BUXAR
English %: 85 Board Roll No./Seat No.: 22610581
Aggregate Percentage: 81 School/College Code: 99999
  Centre code: 6536
  Address of School/College: BUXAR
  Pin: 802101
  Contact Nos:
  Email: iitianbymind@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 69 69
Chemistry 100 52 52
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 59.33
English 100 82 82
   
IMU CET Application Number: CET20U95096  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2015 International Mathematics Olympiads International 964
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I Will prepare myself Mentally as well as physically for the next 1 years of. Study times.. and 18 months of Training period in TMI
Why do you wish to join TMI?: I Wish to Join TMI For Pursuing Best knowledge From Best Martime University Of India.
What are your hobbies?: My Hobby is To Work Hard In Anything Which I Do Whether Its a Game Or Studies.
What are your strengths?: ABILITY TO LEARN FROM MISTAKES, DISCIPLINE AND DETERMINATION
What are your weaknesses?: I FOCUS TOO MUCH ON DETAILS,
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 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