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: DNS2173009
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ayush Jha
Mother's Name: Sarika Jha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Mar 2003 Nationality: Indian
Place of Birth: Aldih Personal Identification Mark: Mole on forehead
Blood Group: O + Address for Communication: Rambandh Behind Cricket Club Burnpur
State: West Bengal Country: India
Pin: 713325 City/District: Asansol
Mobile no: 7718762902 Telephone No. with STD code:
Aadhar Card No: E-mail: ajzayush.69@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Binoy Kumar Jha Relationship with candidate: Father
Parents Date of Birth: 19 Jun 1973 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Digital Complex SB Gorai Road , Asansol
Country: India State: West Bengal
City/District: Asansol Pin: 713304
Tel: Mobile no.: 9832115481
Fax: Email: sarikajha440@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: St Vincents High And Technical School School: St Patricks Higher Secondary school
City: Asansol City: Asansol
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: GT Road, Chelidanga, Asansol, West Bengal
  Pin: 713301
  Contact Nos:
  Email: spsasn@yahoo.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
04/2019 CCBI Basketball Tournament Inter school 8 CCBI school teams from around the country Semi finalists
08/2018 100 points Cricket Tournament Club level Runners up
01/2020 Inter school Republic Day Parade School Level 4th
12/2018 Long Jump School Sports Class 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have planned to travel some places for some time . After that , I will resume my preparations for the entrance exams I intend to give in full swing . I have also planned to work on my communication skills and prepare for sponsorship interviews.
Why do you wish to join TMI?: TMI has always been on the top of the list of colleges that I would love to join. TMI is one of the best institutions for pursuing nautical studies and a chance to get admitted here will help me boost my career from the very initial stage. Also the best-in-class infrastructure and placements add to the glory of this college.
What are your hobbies?: Basketball , Beatboxing , Music.
What are your strengths?: Good grasp on the English language . Communication skills. Leadership skills. Keenness to learn about something new at any point of time.
What are your weaknesses?: I can only put my concentration to one thing at a time. Also , I become a bit aggressive while playing a sport and I sometimes get distracted by some distractions.
How do you intend to meet the expenses of this program?: Own Resources,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.