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: DNS2050055 Name: Vinod Kumar Pandey
  Address: Qno 243 TYPE 2 CRPF GC2 FOY SAGAR ROAD
Telephone No.: Mobile no: 6376067835
E-mail: vinod08042000@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305022086
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050055 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: DNS2050055
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vinod Kumar Pandey
Mother's Name: Subhwanta Pandey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Apr 2000 Nationality: India
Place of Birth: Maniyarepur Personal Identification Mark: mole on right eye
Blood Group: O + Address for Communication: Qno 243 TYPE 2 CRPF GC2 FOY SAGAR ROAD
State: Rajasthan Country: India
Pin: 305005 City/District: Ajmer
Mobile no: 6376067835 Telephone No. with STD code:
Aadhar Card No:982899538201 E-mail: vinod08042000@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Amarnath Pandey Relationship with candidate: Father
Parents Date of Birth: 07 Jul 1962 Parent's/Guardian's Occupation/Designation: defence service
   
Office Address:
   
Address: Qno 243 TYPE 2 CRPF GC2 FOY SAGAR ROAD
Country: India State: Rajasthan
City/District: Ajmer Pin: 305005
Tel: Mobile no.: 9479700217
Fax: Email: amarnathpandey780@gmail.com
 

Education and Academic Record :
Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: kendriya vidyalaya no1 School: kendriya vidyalaya no1
City: ajmer City: ajmer
English %: 85 Board Roll No./Seat No.: 1617911
Aggregate Percentage: 83 School/College Code: 03506
  Centre code: 1203
  Address of School/College: kendriya vidyalaya no1 GC1 Ajmer
  Pin: 305007
  Contact Nos:
  Email: kv1ajmer@rediffmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 71 71
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 69.33
English 100 67 67
   
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
05/2016 NCC CERTIFICATE A FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to use every bit time of I will get in involving in different kind of sports activities . And to prepare for TMI SAT AND IMU CET exams
Why do you wish to join TMI?: This institute is one of its kind it provides a wide variety of course in the field of marine and it has good placement record and world class infrastructure
What are your hobbies?: photography
What are your strengths?: clam,influencer,leader
What are your weaknesses?: very busy,impatient,bored quickly
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate 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