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: DNS2052269
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: viraj tiwari
Mother's Name: sneh lata tiwari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Nov 2001 Nationality: Indian
Place of Birth: lucknow Personal Identification Mark: burn mark on left hand
Blood Group: B + Address for Communication: 4b/282 vrindavan yojna rbl road lucknow
State: Uttar Pradesh Country: India
Pin: 226025 City/District: lucknow
Mobile no: 7007330875 Telephone No. with STD code: 0522
Aadhar Card No:353363056875 E-mail: tiwari.viraj09@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: anil kumar tiwari Relationship with candidate: father
Parents Date of Birth: 12 Sep 1970 Parent's/Guardian's Occupation/Designation: SELF EMPLOYED
   
Office Address:
   
Address: ORIENTAL BUILDING HAZRATGANJ LUCKNOW
Country: India State: Uttar Pradesh
City/District: lucknow Pin: 226025
Tel: 0522 Mobile no.: 9415015995
Fax: 0522 Email: anilktiwari@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: the millennium school School: the millennium school
City: lucknow City: lucknow
English %: 95 Board Roll No./Seat No.: 5715228
Aggregate Percentage: 89 School/College Code: 54709
  Centre code: 5260
  Address of School/College: f-block south city
  Pin: 226025
  Contact Nos: 8188850333
  Email: info.lucknow@themillenniumschools.com
  Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 54 54
Chemistry 100 56 56
Mathematics 100 33 33
Physics, Chemistry & Mathematics combined Percentage: 47.67
English 100 75 75
   
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
03/2020 athletics athlete first
09/2016 declamation speaker third
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: WHILE PLAYING FOOTBALL AND GAINING KNOWLEDGE ABOUT MERCHANT NAVY
Why do you wish to join TMI?: I HAVE HEARD SO MANY GOOD COMMENTS ABOUT THE FACULTY OF TMI FROM MY FRIENDS AND ALSO IT IS MY DREAM COLLEGE.
What are your hobbies?: FOOTBALL,CRICKET AND BADMINTON
What are your strengths?: MY SELF CONFIDENCE AND MY FAITH IN ME
What are your weaknesses?: SOMETIMES GET DEMOTIVATED
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

 

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Date ________________