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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
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Applicant's Personal Information: |
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Full Name as on Class XII Marksheet/Pass Certificate: Ashish Kumar |
Mother's Name: Anita devi |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 14 Mar 2002 |
Nationality: Indian |
Place of Birth: Jawahi |
Personal Identification Mark: Cut mark on left palm |
Blood Group: AB + |
Address for Communication: Bill.-Jawahi Post-Radhaur |
State: Bihar |
Country: India |
Pin: 843331 |
City/District: Sitamrhi |
Mobile no: 7295039130 |
Telephone No. with STD code: |
Aadhar Card No: |
E-mail: ashishkumar8969046@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: Upendra thakur |
Relationship with candidate: Father |
Parents Date of Birth: 04 Feb 1969 |
Parent's/Guardian's Occupation/Designation: Farmer |
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Office Address: |
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Address: Vill.-Jawahi Post-Radhaur |
Country: India |
State: Bihar |
City/District: Sitamrhi |
Pin: 843331 |
Tel: |
Mobile no.: 9631191899 |
Fax: |
Email: ashishkumar8969046@gmail.com |
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Education and Academic Record :
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Class X: - |
Class XII: - |
Year of Passing: 2017 |
Year of Passing: 2019 |
Board: CBSE |
Board: Bihar |
School: K.v.jawahr nager |
School: Sri Nawab a.s. school sheohar |
City: Sitamrhi |
City: Sheohar |
English %: 70 |
Board Roll No./Seat No.: 19010023 |
Aggregate Percentage: 72 |
School/College Code: 36007 |
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Centre code: 36007 |
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Address of School/College: Sheohar |
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Pin: 843329 |
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Contact Nos: |
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Email: rajashish060@gmail.com |
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Aggregate Percentage: 78 |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
100 |
79 |
79 |
Chemistry |
100 |
88 |
88 |
Mathematics |
100 |
89 |
89 |
Physics, Chemistry & Mathematics combined Percentage: |
85.33 |
English |
100 |
66 |
66 |
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IMU CET Application Number: |
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How do you intend spending your time after completing class XII Final exams and before joining college ?: STUDYING |
Why do you wish to join TMI?: Because it is a most reputed company in Marchant navy |
What are your hobbies?: Studying scientific fact |
What are your strengths?: To complete my work in time |
What are your weaknesses?: No |
How do you intend to meet the expenses of this program?: Own Resources |
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Review you documents: |
Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
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Date ________________ |
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