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: DNS2171987
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rohit giri
Mother's Name: Meena giri
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Oct 2002 Nationality: Indian
Place of Birth: Gazipur Personal Identification Mark: Cutting Mark on neck
Blood Group: B + Address for Communication: New cantt 470/1 Kapurthala Punjab Nilmatha Lucknow Uttar Pradesh
State: Uttar Pradesh Country: India
Pin: 226002 City/District: Lucknow
Mobile no: 8450768768 Telephone No. with STD code:
Aadhar Card No: E-mail: rghm6874@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Giri Relationship with candidate: Father
Parents Date of Birth: 30 Jul 1979 Parent's/Guardian's Occupation/Designation: Defence services
   
Office Address:
   
Address: New cantt 470/1 Kapurthala Punjab Nilmatha Lucknow Uttar Pradesh
Country: India State: Uttar Pradesh
City/District: Lucknow Pin: 226002
Tel: Mobile no.: 8545698459
Fax: Email: rghm6874@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Army public school no1 Roorkee Uttarakhand School: Krj dav public school
City: Roorkee City: Lucknow
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 67 School/College Code:
  Centre code:
  Address of School/College: New cantt 470/1 Kapurthala Punjab Nilmatha Lucknow Uttar Pradesh
  Pin: 226002
  Contact Nos: 08545698459
  Email: rghm6874@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: NA  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Gardening Fitness
Why do you wish to join TMI?: Provide practical knowledge
What are your hobbies?: Cricket
What are your strengths?: I never give up easily
What are your weaknesses?: English speaking and Overthinking
How do you intend to meet the expenses of this program?: Other - Na
 
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.