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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: AYUSH VASHISTH |
Mother's Name: MANISHA SHARMA |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 06 Aug 2000 |
Nationality: INDIAN |
Place of Birth: INDIA |
Personal Identification Mark: SCAR ON THE LEFT EYEBROW |
Blood Group: A + |
Address for Communication: 18 KALYAN NAGAR, GARH ROAD MEERUT |
State: Uttar Pradesh |
Country: India |
Pin: 250002 |
City/District: MEERUT |
Mobile no: 8791000213 |
Telephone No. with STD code: |
Aadhar Card No:497396885245 |
E-mail: AYUSH.VASHISTH4582@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: NAVNEET SHARMA |
Relationship with candidate: FATHER |
Parents Date of Birth: 10 Jan 1973 |
Parent's/Guardian's Occupation/Designation: BUSINESS |
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Office Address: |
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Address: 18 KALYAN NAGAR, GARH ROAD MEERUT |
Country: India |
State: Uttar Pradesh |
City/District: MEERUT |
Pin: 250002 |
Tel: |
Mobile no.: 9997393313 |
Fax: |
Email: ms2533047@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: CBSE |
School: DEWAN PUBLIC SCHOOL |
School: DEWAN PUBLIC SCHOOL |
City: MEERUT |
City: MEERUT |
English %: 85 |
Board Roll No./Seat No.: 5897135 |
Aggregate Percentage: 87 |
School/College Code: 08870 |
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Centre code: 08773 |
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Address of School/College: 220 WESTAND ROAD MEERUT CANTT |
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Pin: 250001 |
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Contact Nos: |
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Email: ADMINISTRATOR@DEWANPUBLICSCHOOLMEERUT.ORG |
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Aggregate Percentage: 79 |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
100 |
78 |
78 |
Chemistry |
100 |
82 |
82 |
Mathematics |
100 |
59 |
59 |
Physics, Chemistry & Mathematics combined Percentage: |
73 |
English |
100 |
81 |
81 |
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IMU CET Application Number: |
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Sports & Extra Curricular Activities: |
Achievements in Sports and Extra Curricular Activities |
MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
26/6/2011 |
Table tennis |
INTERSCHOOL |
1 |
26/6/2019 |
BADMINTON |
INTERSCHOOL |
1 |
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How do you intend spending your time after completing class XII Final exams and before joining college ?: PLAYING CRICKET, PREPARING FOR IMU CET |
Why do you wish to join TMI?: NO.1 INSTITUTE FOR MERCHANT NAVY |
What are your hobbies?: SPORTS |
What are your strengths?: INITIATIVE, LEADERSHIP |
What are your weaknesses?: PERSISTENT |
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 not uploaded
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Class XII admit card not uploaded
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Class XII marksheet
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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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