 |
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: ODEDRA AJAY MENANDBHAI |
Mother's Name: Leeluben |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 21 May 2001 |
Nationality: Indian |
Place of Birth: Porbandar |
Personal Identification Mark: three dark spots in my face |
Blood Group: AB + |
Address for Communication: miyani porbandar,gujarat miyani porbandar gujarat |
State: Gujarat |
Country: India |
Pin: 360579 |
City/District: Porbandar |
Mobile no: 9624928183 |
Telephone No. with STD code: |
Aadhar Card No: |
E-mail: odedraajay45@gmail.com |
|
|
Guardian's Particulars: |
|
Name of Parent/Guardian: Menandbhai |
Relationship with candidate: father |
Parents Date of Birth: 01 Dec 1976 |
Parent's/Guardian's Occupation/Designation: farmer |
|
|
Office Address: |
|
|
Address: miyani porbandar,gujarat miyani porbandar,gujarat |
Country: India |
State: Gujarat |
City/District: Porbandar |
Pin: 360579 |
Tel: |
Mobile no.: 9909740097 |
Fax: |
Email: odedraajay45@gmail.com |
|
|
Education and Academic Record :
|
Class X: - |
Class XII: - |
Year of Passing: 2016 |
Year of Passing: 2018 |
Board: Gujarat |
Board: Gujarat |
School: Shree danev secondary school lambabandar |
School: royal higher secondary school dhoraji |
City: lambabandar |
City: dhoraji |
English %: 79 |
Board Roll No./Seat No.: B 125058 |
Aggregate Percentage: 75 |
School/College Code: 361320 |
|
Centre code: 027 |
|
Address of School/College: jetpur highway road, national highway 8-B,opp.reliance petrol pump,dhoraji |
|
Pin: 360410 |
|
Contact Nos: |
|
Email: royalschooldhoraji@yahoo.com |
|
Aggregate Percentage: 52 |
|
|
Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
|
MARKS SECURED |
PERCENTAGE (%) |
Physics |
150 |
20 |
13.33 |
Chemistry |
150 |
46 |
30.67 |
Mathematics |
100 |
54 |
54 |
Physics, Chemistry & Mathematics combined Percentage: |
32.67 |
English |
100 |
47 |
47 |
|
|
|
IMU CET Application Number: |
|
|
|
How do you intend spending your time after completing class XII Final exams and before joining college ?: in holidays I will spend my time in read books and learn spocken enlish. |
Why do you wish to join TMI?: because I interested in this field and work on ship is my dream. |
What are your hobbies?: travelling, read books |
What are your strengths?: I can handle any situation in my life |
What are your weaknesses?: my maths is weak |
How do you intend to meet the expenses of this program?: Own Resources |
|
Review you documents: |
Birth certificate not uploaded
|
DGS Approved Medical Fitness Certificate not uploaded
|
Class X marksheet not uploaded
|
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 ________________ |
|