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: DNS2172121
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Devonshu Gupta
Mother's Name: Rachana Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Dec 2001 Nationality: Indian
Place of Birth: Faizabad Personal Identification Mark: Mole on chest
Blood Group: O + Address for Communication: 563/478 Shahganj
State: Uttar Pradesh Country: India
Pin: 211003 City/District: ALLAHABAD
Mobile no: 9453460359 Telephone No. with STD code:
Aadhar Card No:450870463087 E-mail: guptadevonshu@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Kumar Gupta Relationship with candidate: Father
Parents Date of Birth: 30 Aug 1965 Parent's/Guardian's Occupation/Designation: Self Employed
   
Office Address:
   
Address: 563/478 Shahganj
Country: India State: Uttar Pradesh
City/District: ALLAHABAD Pin: 211003
Tel: Mobile no.: 9453460359
Fax: Email: rajonline478@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: ISCE
School: Boys High School School: Boys High School
City: ALLAHABAD City: Prayagraj
English %: 72 Board Roll No./Seat No.: 2201606
Aggregate Percentage: 72 School/College Code: UP009
  Centre code: 2201606
  Address of School/College: 4, P.D. Tandon Road Post Box. No. 4 Prayagraj
  Pin: 211001
  Contact Nos:
  Email: principal@boyshighschool.com
  Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 77 77
Chemistry 100 60 60
Mathematics 100 43 43
Physics, Chemistry & Mathematics combined Percentage: 60
English 100 75 75
   
IMU CET Application Number: CETF21300503  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2014 Science Exhibition Inter School First
08/2013 English Elocution Inter School First
08/2013 Hindi Elocution Inter School First
04/2019 NCC School Partiipated
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepration for Merchany Navy Exam
Why do you wish to join TMI?: Other than being prime institute for merchant navy courses it also provide excellent education and job opportunities for those who see their carrer on ships.
What are your hobbies?: Travelling
What are your strengths?: Versatility
What are your weaknesses?: Easily trust other peoples
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 Class XII admit card Class XII marksheet
 
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.