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: DNS2173746
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Samar pratap singh
Mother's Name: Laxmi rana
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Dec 2001 Nationality: Indian
Place of Birth: Shimla Personal Identification Mark: mole on left eyebrow
Blood Group: A + Address for Communication: village gheti p/o pharal teh kumarsain distt shimla himachal pradesh
State: Himachal Pradesh Country: India
Pin: 172029 City/District: Shimla
Mobile no: 8580574264 Telephone No. with STD code: 08580574264
Aadhar Card No:352905545522 E-mail: kanwarsamar100@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kanwar Singh Relationship with candidate: Father
Parents Date of Birth: 03 Feb 1968 Parent's/Guardian's Occupation/Designation: ITBP
   
Office Address:
   
Address: MDR 16 SARAHAN HIMACHAL PRADESH
Country: India State: Himachal Pradesh
City/District: SHIMLA Pin: 172034
Tel: Mobile no.: 7018444594
Fax: Email: krana12341@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Himachal Pradesh Board: CBSE
School: KENDRIYA VIDYALAYA JAKHOO SHIMLA School: KENDRIYA VIDYALAYA JAKHOO HILLS SHIMLA
City: Shimla City: Shimla
English %: 76 Board Roll No./Seat No.: 2782248
Aggregate Percentage: 78 School/College Code: 04318
  Centre code: 2539
  Address of School/College: JAKHOO ROAD NEAR DREAM LAND HOTEL LAKKAR BAZAR SHIMLA HIMACHAL PRADESH
  Pin: 171001
  Contact Nos: 08580574264
  Email: kvjakhoohills@yahoo.co.in
  Aggregate Percentage: 74
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 57 57
Chemistry 100 58 58
Mathematics 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 64
English 100 86 86
   
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
09/2015 BASKETBALL DISTT LEVEL SECOND
08/2016 BASKETBALL KVS REGIONAL FIRST
07/2017 BSKETBALL KVS REGIONAL THIRD
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: AFTER 12 I DROPPED AND SPEND MY TIME LEARNING NEW THINGS, VISITING NEW PLACES, TRAVELING AND GOT A CHANCE TO KNOW WHAT I WANT FROM MY LIFE
Why do you wish to join TMI?: I WISH TO JOIN TMI BECAUSE OF THERE GOOD PLACEMENTS, BEING A WELL REPUTED INSTITUTE WITH MANY ACHIEVEMENTS AND HAVING A GOOD ATMOSPHERE WITH ALL NECESSITY FACILITIES
What are your hobbies?: HICKING , CRICKET , SWIMING
What are your strengths?: PUNCTUAL, VERSATILITY, ENTHUIASM
What are your weaknesses?: NEGOTIATION
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.