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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: Rishav Saha |
Mother's Name: Samapti Saha |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 07 Mar 2002 |
Nationality: Indian |
Place of Birth: kolkata |
Personal Identification Mark: cut mark on left arm |
Blood Group: O + |
Address for Communication: BD 122, Salt Lake, kolkata 700064 BD 68, Salt Lake, kolkata 700064 |
State: West Bengal |
Country: India |
Pin: 700064 |
City/District: kolkata |
Mobile no: 9830973785 |
Telephone No. with STD code: 033 |
Aadhar Card No:864373588754 |
E-mail: rajsonasaha@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: rajib saha |
Relationship with candidate: father |
Parents Date of Birth: 12 Jan 1967 |
Parent's/Guardian's Occupation/Designation: captain |
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Office Address: |
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Address: Office 904, 9th Floor, Shubham Building, Rowdon Street Crossing, 1, Sarojini Naidu Sarani, Kolkata - 700 017 A202/203, Citi Point, J B Nagar, Andheri Kurla Road, Andheri East, Mumbai, Maharashtra 400059 Office No. 113, First Floor, Hemkunt Tower, 98, Nehru Place, New Delhi - 110 019 |
Country: India |
State: West Bengal |
City/District: kolkata |
Pin: 700017 |
Tel: 03323597511 |
Mobile no.: 9804829725 |
Fax: |
Email: rajsona_saha@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: ISCE |
Board: CBSE |
School: D.P.S Megacity |
School: Bharatiya vidya bhavan |
City: kolkata |
City: Kolkata |
English %: 88 |
Board Roll No./Seat No.: |
Aggregate Percentage: 93 |
School/College Code: |
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Centre code: |
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Address of School/College: Block - FA, Sector - III, Salt Lake City, Kolkata - 700097 |
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Pin: 700097 |
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Contact Nos: 03323351249 |
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Email: bgkv_kolkata@yahoo.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 ?: Preparing for competetive examinations |
Why do you wish to join TMI?: To be a part of our family heritage of mariners |
What are your hobbies?: football,swimming,cycling |
What are your strengths?: leadership skills, |
What are your weaknesses?: misunderstanding of situations |
How do you intend to meet the expenses of this program?: Own Resources |
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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
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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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