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: DNS2172701
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANCHIT GOSWAMI
Mother's Name: Gitika goswami
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Aug 2002 Nationality: Indian
Place of Birth: GUWAHATI Personal Identification Mark: Scar on right hand
Blood Group: B + Address for Communication: H.NO-31,TRIBENI PATH,ANIL NAGAR H.no-31,tribeni path,anil nagar
State: Assam Country: India
Pin: 781024 City/District: GUWAHATI
Mobile no: 8638596316 Telephone No. with STD code: 08638596316
Aadhar Card No:713446501477 E-mail: anchitgoswami50@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dibakar goswami Relationship with candidate: Father
Parents Date of Birth: 30 May 1970 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: H.no-31,tribeni path Anil nagar
Country: India State: Assam
City/District: Guwahati Pin: 781024
Tel: 07896149204 Mobile no.: 7896137031
Fax: Email: anchitgoswami50@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kendriya vidyalaya khanapara School: Kendriya vidyalaya khanapara
City: GUWAHATI City: GUWAHATI
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Centre code:
  Address of School/College: Juwahar nagar khanapara guwahati
  Pin: 781022
  Contact Nos:
  Email: kvkhanapaya@redifmail.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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2017 25th national children science congress all india national cleared
01/2017 17th national jamboree all india national cleared
11/2017 25th kvs national children science congress inter regional level cleared
07/2016 rajya puraskar state level cleared
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would like to spend some time going to the gym and starting my own start-up and working on my project
Why do you wish to join TMI?: i wish to join TMI as most of my favorite shipping companies are recruiting from this collage and heard from some of the YouTube videos about the greatness of this collage.
What are your hobbies?: gymming
What are your strengths?: learning capability, presence of mind, hardworking
What are your weaknesses?: speaking up for anything wrong going onn
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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.