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: DNS2172108
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Bhupendra Singh
Mother's Name: Poonam Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Oct 2001 Nationality: Indian
Place of Birth: Port Blair Personal Identification Mark: A cut mark on left thumb
Blood Group: B + Address for Communication: Qtr No 125/6 First Lane Ajay Baugh Minnie Bay Junglighat
State: Other Country: India
Pin: 744103 City/District: Port Blair
Mobile no: 8547977372 Telephone No. with STD code:
Aadhar Card No:551448879822 E-mail: krishnapriyans.singh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Krishna Kumar Singh Relationship with candidate: Father
Parents Date of Birth: 15 Oct 1975 Parent's/Guardian's Occupation/Designation: Indian Navy
   
Office Address:
   
Address: RAQAS INS UTKROSH JUNGLIGHAT Port Blair
Country: India State: Other
City/District: Port Blair Pin: 744103
Tel: Mobile no.: 8547977372
Fax: Email: krishnapriyans.singh@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Sainik School Amaravathinagar Udumalpet Tirupur School: Sainik School Amaravathinagar
City: Tamilnadu City: Tirupur
English %: 95 Board Roll No./Seat No.: 4621162
Aggregate Percentage: 87 School/College Code: 06908
  Centre code: 06908
  Address of School/College: Amaravathinagar Udumalpet Tirupur Tamilnadu
  Pin: 642102
  Contact Nos: 04252256296
  Email: mailtosainik@gmail.com
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 85 85
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 75.33
English 100 91 91
   
IMU CET Application Number: CETF21300374  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2016 Aquatics School level 3rd
07/2018 Inter House Basketball School level 2nd
10/2018 Hammer Throw School level 1st
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
08/2016 NCC camp 10 days
08/2018 NCC camp 10 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I intend to spend my time preparing myself for upcoming events by improving upon my skills and becoming better than my previous self by spending time qualitatively
Why do you wish to join TMI?: I strongly believe that with TMI I get the opportunity to learn and grow and improve my qualities
What are your hobbies?: Reading fictional novels and listening to music
What are your strengths?: Hard and smart working, Curious for knowledge, dynamic,
What are your weaknesses?: I geta bit lazy sometimes but I cope up as soon as possible
How do you intend to meet the expenses of this program?: Bank Loan
 
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.