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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: manish kumar |
Mother's Name: Renu devi |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 01 Oct 2000 |
Nationality: Indian |
Place of Birth: Saharsa |
Personal Identification Mark: A mole mark on nose |
Blood Group: A + |
Address for Communication: bancholaha ps sourbazar vill- bancholaha ps-sourbazar dist-saharsa |
State: Bihar |
Country: India |
Pin: 852221 |
City/District: saharsa |
Mobile no: 8789238712 |
Telephone No. with STD code: +918789238712 |
Aadhar Card No:724484619773 |
E-mail: manishkbss01@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: Praful chanda suman |
Relationship with candidate: father |
Parents Date of Birth: 25 Dec 1965 |
Parent's/Guardian's Occupation/Designation: farmer |
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Office Address: |
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Address: bhagwanpur ps sourbazar |
Country: India |
State: Bihar |
City/District: saharsa |
Pin: 852221 |
Tel: |
Mobile no.: 8678082809 |
Fax: |
Email: manishkbss01@gmail.com |
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Education and Academic Record :
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Class X: - |
Class XII: - |
Year of Passing: 2018 |
Year of Passing: 2020 |
Board: Bihar |
Board: Bihar |
School: zila school saharsa |
School: bs college saharsa |
City: saharsa |
City: saharsa |
English %: 60 |
Board Roll No./Seat No.: 241 |
Aggregate Percentage: 58 |
School/College Code: bs college saharsa |
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Centre code: zila school |
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Address of School/College: bancholaha
ps sourbazar |
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Pin: 852221 |
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Contact Nos: 8789238712 |
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Email: manishkbss01@gmail.com |
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Aggregate Percentage: |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
100 |
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Chemistry |
100 |
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Mathematics |
100 |
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Physics, Chemistry & Mathematics combined Percentage: |
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English |
100 |
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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 ?: yessssssss |
Why do you wish to join TMI?: yes |
What are your hobbies?: runing |
What are your strengths?: i am quick lerner and i am impressed any one at frist visit or frist meeting |
What are your weaknesses?: i beleiv at any stranger its my weakness |
How do you intend to meet the expenses of this program?: Bank Loan |
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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
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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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