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: DNS2052427
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MAMON SARKAR
Mother's Name: BEAUTY SARKAR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jan 2003 Nationality: INDIA
Place of Birth: KATIHAR Personal Identification Mark: RIGHT HAND ON SPORT
Blood Group: B + Address for Communication: AT-BABHNI BABHNI P/O-MAHADEOPUR
State: Bihar Country: India
Pin: 854116 City/District: KATIHAR
Mobile no: 9128676033 Telephone No. with STD code: 07325807773
Aadhar Card No: E-mail: mamonsarkar0786@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: munna sarkar Relationship with candidate: father
Parents Date of Birth: 02 Feb 1965 Parent's/Guardian's Occupation/Designation: farmar
   
Office Address:
   
Address: babhni bahbhni
Country: India State: Bihar
City/District: katihar Pin: 854116
Tel: Mobile no.: 7325807773
Fax: Email: mamonsarkar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: BIHAR SCHOOL EXAMATION BOARD PATNA School: BSEB
City: KATIHAR City: KATIHAR
English %: 55 Board Roll No./Seat No.: 20010057
Aggregate Percentage: 54 School/College Code: 94014
  Centre code: 94014
  Address of School/College: SUR TULISI INTER COLLGE KTR
  Pin: 854105
  Contact Nos:
  Email: mamonsarkarktr@gmail.com
  Aggregate Percentage: 55
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 60 60
Chemistry 100 59 59
Mathematics 100 40 40
Physics, Chemistry & Mathematics combined Percentage: 53
English 100 49 49
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: because this is my goal
Why do you wish to join TMI?: HOBY
What are your hobbies?: cricket
What are your strengths?: good
What are your weaknesses?: no
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
 
Declaration

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

Signature of Candidate

 

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Date ________________