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 - 2021

 
  Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIJAY KUMAR
Mother's Name: RITA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Sep 2002 Nationality: INDIAN
Place of Birth: SIMULTALA Personal Identification Mark: A MOLE ON RIGHT SIDE CHEEK
Blood Group: O + Address for Communication: JASIDIH DEOGHAR
State: Bihar Country: India
Pin: 814142 City/District: JAMUI
Mobile no: 6205776596 Telephone No. with STD code:
Aadhar Card No:896788698453 E-mail: vijaykumarf07@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: TULSI YADAV Relationship with candidate: FATHER
Parents Date of Birth: 23 Nov 1978 Parent's/Guardian's Occupation/Designation: RAILWAY SERVICE
   
Office Address:
   
Address: Jasidih Sinal office Jasidih
Country: India State: Bihar
City/District: JAMUI Pin: 811316
Tel: Mobile no.: 8757761344
Fax: Email: krvijay16092002@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: JASIDIH PUBLIC SCHOOL School: JASIDIH PUBLIC SCHOOL
City: DEOGHAR City: DEOGHAR
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Centre code:
  Address of School/College: ROHINI ROAD, NEAR PAGALBABA, JASIDIH
  Pin: 814142
  Contact Nos:
  Email: jasidihpubicschool@gmail.com
  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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I after completing their class 12th aim to trying to take on many courses to make the next step of our life to concentrate on the specific field of studies in order to make their future bright
Why do you wish to join TMI?: I think one of best institute for my future
What are your hobbies?: Travel, playing cricket
What are your strengths?: My Hard Work
What are your weaknesses?: I believe any people with know him
How do you intend to meet the expenses of this program?: Other - Youtube
 
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

 

___________________

Date ________________

 
Print Summary and Application Form