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: DNS2172806
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sumit Tiwari
Mother's Name: Vandana shree
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Jan 2003 Nationality: Indian
Place of Birth: Patna Personal Identification Mark: Cut on left eye brow
Blood Group: B - Address for Communication: Village-Majhiaon Post-Majhiaon police station-charpokhari, District-Bhojpur
State: Bihar Country: India
Pin: 802223 City/District: Ara
Mobile no: 8709146848 Telephone No. with STD code: 08709146848
Aadhar Card No:591715028674 E-mail: sumittiwari282001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Santosh Tiwari Relationship with candidate: Father
Parents Date of Birth: 01 Mar 1978 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Vill-Majhiaon police station-charpokhari, District-Bhojpur
Country: India State: Bihar
City/District: Ara Pin: 802223
Tel: 08709146848 Mobile no.: 9572476434
Fax: Email: captainsumit2812003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: Bihar
School: Dk carmel residential high school School: Lakha interstariya high school
City: Ara City: Ara
English %: 82 Board Roll No./Seat No.: 21010140
Aggregate Percentage: 76 School/College Code: 13052
  Centre code:
  Address of School/College: Barni, Bhojpur
  Pin: 802223
  Contact Nos:
  Email: battleas692000@gmail.com
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 74 0
Chemistry 79 0
Mathematics 51 0
Physics, Chemistry & Mathematics combined Percentage: 0
English 76 0
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning English spoken and help my father in farming
Why do you wish to join TMI?: Because TMI is the best and earliest colleague for doing merchant navy courses
What are your hobbies?: Listening music
What are your strengths?: Time management and hard working skill
What are your weaknesses?: Emotions
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 ________________

 
Print Summary and Application Form