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: DNS2051147
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sahil singh
Mother's Name: Annu singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Dec 2001 Nationality: Indian
Place of Birth: Allahabad Personal Identification Mark: Mole on neck
Blood Group: B + Address for Communication: Qtr-109 vd road new cantt allahabad Qtr-54 Ra bazar new Cantt allahabad
State: Uttar Pradesh Country: India
Pin: 211001 City/District: Allahabad
Mobile no: 7051818443 Telephone No. with STD code: 7051818443
Aadhar Card No: E-mail: ks122293@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Harindra singh Relationship with candidate: Father
Parents Date of Birth: 01 Dec 1975 Parent's/Guardian's Occupation/Designation: Indian army
   
Office Address:
   
Address: 5171 Asc bn Udhampur j and k 520 ASc bn allahabad
Country: India State: Uttar Pradesh
City/District: Allahabad Pin: 211001
Tel: Mobile no.: 8765796613
Fax: Email: shubhamsinghmajor@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: CBSE Board: Uttar Pradesh
School: Kendriya Vidyalaya new cantt allahabad School: 1321-janakdhari jsic bakarpur babhanauli ballia
City: Allahabad City: Ballia
English %: 70 Board Roll No./Seat No.: 1841172
Aggregate Percentage: 78 School/College Code: 1321
  Centre code: 07044
  Address of School/College: Bakarpur babhanauli ballia
  Pin: 277001
  Contact Nos: 7051818443
  Email: ks122293@gmail.com
  Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
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
07/2018 Swimming National and regional level 5
07/2019 Swimming National and regional level 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for Sponsership and imu exam
Why do you wish to join TMI?: TMI is best collage
What are your hobbies?: Swimming
What are your strengths?: Understanding
What are your weaknesses?: Trust
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 not uploaded Class XII admit card Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________