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: DNS2172652
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sushruti Arun Mishra
Mother's Name: Sarala Mishra
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Oct 2002 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Mole on left cheek
Blood Group: A + Address for Communication: Ashmita Jyoti CHS LTD A1/64 Marve Road, Malad west
State: Maharashtra Country: India
Pin: 400095 City/District: Mumbai
Mobile no: 9923733392 Telephone No. with STD code: 919923733392
Aadhar Card No:659579750769 E-mail: sushruti2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sarala Mishra Relationship with candidate: Mother
Parents Date of Birth: 17 May 1976 Parent's/Guardian's Occupation/Designation: Housewife
   
Office Address:
   
Address: Ashmita Jyoti CHS LTD A1/64 Marve road, Malad west
Country: India State: Maharashtra
City/District: Mumbai Pin: 400095
Tel: Mobile no.: 9923733392
Fax: Email: sushruti2002@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: Maharashtra
School: National English School School: Mithibai College of Arts
City: Virar City: Mumbai
English %: 79 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Centre code:
  Address of School/College: Mithibai College of Arts
  Pin: 4
  Contact Nos: 42339000
  Email: principal@mithibai.ac.in
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2012 Kyu of Karate 8 8
08/2014 Pyramid Competition 1st 1st
03/2016 English Enrichment Course Intermediate O
12/2017 Interclass Volleyball Tournament Winners Winners
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Dance, Swimming, Badminton, Karate and even preparing for entrances and interviews.
Why do you wish to join TMI?: Apart from Mumbai itself, I wanted to study in Pune and for this field/ profession I feel TMI is the best.
What are your hobbies?: Dance, Swimming, Reading
What are your strengths?: My MOM is my biggest strength. Having leadership qualities. I can make quick decision. I interrogate/ self interrogate a lot before reaching to a conclusion. I feel I have a good communication skills.
What are your weaknesses?: I do not have a sleep schedule. Sometime I feel stuck and cannot make quick decision.
How do you intend to meet the expenses of this program?: Own Resources
 
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.