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: DNS2052109
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rajdeep Mahto
Mother's Name: Asha Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Dec 2002 Nationality: Indian
Place of Birth: Ranchi Personal Identification Mark: Mole mark on neck
Blood Group: A + Address for Communication: Vill-Manatu P.S-kanke,P.O-kamre Ranchi
State: Jharkhand Country: India
Pin: 835222 City/District: Ranchi
Mobile no: 6203624189 Telephone No. with STD code:
Aadhar Card No: E-mail: bk7254527@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mahendra Mahto Relationship with candidate: Father
Parents Date of Birth: 18 Oct 1967 Parent's/Guardian's Occupation/Designation: Agriculture
   
Office Address:
   
Address: Vill-Manatu P.S-kanke,P.O-kamre Ranchi
Country: India State: Jharkhand
City/District: Ranchi Pin: 835222
Tel: Mobile no.: 9304061200
Fax: Email: bk7254527@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: CBSE
School: St Francis School School: Nirja sahay dav public school
City: Ranchi City: Ranchi
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: Goshala complex, Kanke, jharkhand
  Pin: 834006
  Contact Nos:
  Email: nskanke@yahoo.co.in
  Aggregate Percentage:
   
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
12/2016 Cricket Inter school tournament Winner
12/2015 Cricket Inter school tournament Runner
01/2019 TechnoZeal Inter school Runner
11/2013 Fevicol science project Challenge Inter school Runner
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learn sports like badminton, swimming etc.
Why do you wish to join TMI?: One of the most highly esteemed institute
What are your hobbies?: Listening music, playing with siblings
What are your strengths?: Strong will power, courageous and can work for long flexy hours
What are your weaknesses?: No weakness
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 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 ________________