 |
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: DNS2050160 |
Name: SHREE KRISHNA TARAI |
| |
Address: No 48/3, Door no 16, 2nd floor, 1st main, 5th cross, Jalakanteshwara main road, Malleshpalya, New thippasandra post, |
| Telephone No.: |
Mobile no: 9019679038 |
| E-mail: shreekrishnatarai20@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: 305337178 |
| |
|
| |
|
| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050160 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 keep a copy of the form for your reference for communicating with the Institute |
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
|
|
| |
|
| |
| Applicant's Personal Information: |
| |
| Full Name as on Class XII Marksheet/Pass Certificate: SHREE KRISHNA TARAI |
| Mother's Name: MINATI TARAI |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 20 Nov 2001 |
Nationality: INDIAN |
| Place of Birth: ODISHA |
Personal Identification Mark: A mole below the right eye |
| Blood Group: A + |
Address for Communication: No 48/3, Door no 16, 2nd floor, 1st main, 5th cross, Jalakanteshwara main road, Malleshpalya, New thippasandra post, |
| State: Karnataka |
Country: India |
| Pin: 560075 |
City/District: Bengaluru |
| Mobile no: 9019679038 |
Telephone No. with STD code: |
| Aadhar Card No:686060808457 |
E-mail: shreekrishnatarai20@gmail.com |
|
| |
| Guardian's Particulars: |
| |
| Name of Parent/Guardian: Kapilendra Tarai |
Relationship with candidate: Father |
| Parents Date of Birth: 02 Feb 1969 |
Parent's/Guardian's Occupation/Designation: Plumber |
| |
|
| Office Address: |
| |
|
| Address: No 48/3, Door no 16, 2nd floor, 1st main, 5th cross, Jalakanteshwara main road, Malleshpalya, New thippasandra post, |
| Country: India |
State: Karnataka |
| City/District: Bengaluru |
Pin: 560075 |
| Tel: |
Mobile no.: 8495024098 |
| Fax: |
Email: taraiartsofficial@gmail.com |
| |
|
Education and Academic Record :
|
| Class X: - |
Class XII: - |
| Year of Passing: 2017 |
Year of Passing: 2020 |
| Board: Karnataka |
Board: Karnataka |
| School: Indiranagar High School |
School: St. Josephs Indian Composite Pre University College |
| City: Bengaluru |
City: Bengaluru |
| English %: 58 |
Board Roll No./Seat No.: 2019J611324 |
| Aggregate Percentage: 70 |
School/College Code: AN514 |
| |
Centre code: AN514 |
| |
Address of School/College: 23, Vittal Mallya Rd, D Souza Layout, Ashok Nagar, Bengaluru, Karnataka 560001 |
| |
Pin: 560001 |
| |
Contact Nos: 08041010013 |
| |
Email: sjicpuc@gmail.com |
| |
Aggregate Percentage: 59 |
| |
|
| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
|
MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
51 |
51 |
| Chemistry |
100 |
48 |
48 |
| Mathematics |
100 |
43 |
43 |
| Physics, Chemistry & Mathematics combined Percentage: |
47.33 |
| English |
100 |
73 |
73 |
|
| |
|
| IMU CET Application Number: CET20U94795 |
|
|
| Sports & Extra Curricular Activities: |
| Achievements in Sports and Extra Curricular Activities |
| MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
| 05/2016 |
NCC |
National level |
A certificate |
| 06/2015 |
NCC Camp |
State level |
Participated |
| 08/2013 |
TAEKWONDO |
State level |
Participated |
| 11/2013 |
DRAWING |
International Level |
First |
|
| |
| How do you intend spending your time after completing class XII Final exams and before joining college ?: I would spend most of my time in practicing Taekwondo and making my way to different levels of championships, i would also spend some time in drawing which is my hobbies so that i can give some time to myself and in remaining hours i would love to spend some time in studying for the entrance exams. |
| Why do you wish to join TMI?: TMI, i have heard that TMI provides the best coaching and also provides placements and sponcerships from many International and National companies, and more over the Facilities at TMI is good, but moreover i would join TMI for the campus facilities, |
| What are your hobbies?: Sketching, Making models from different materials, Reading books of History, Training myself and others for fitness. |
| What are your strengths?: Creativity, Focused, Flexibility, Leadership skills, Problem Sloving, |
| What are your weaknesses?: Overthinking, Public speaking, Dont stop until completing the given task, |
| 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 ________________ |
| |