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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Vishnu dutt
Mother's Name: Renu Rai
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jan 2004 Nationality: Indian
Place of Birth: hyderabad Personal Identification Mark: mole on right chin
Blood Group: A + Address for Communication: SMQ-223/6 AIR FORCE STATION DARJIPURA VADODARA GUJARAT 390022 GOLDEN CHOKDI
State: Gujarat Country: India
Pin: 390022 City/District: vadodara
Mobile no: 9346591450 Telephone No. with STD code: 09346591450
Aadhar Card No:843624862400 E-mail: ankitkumarrai769631@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Santos Kumar Rai Relationship with candidate: Father
Parents Date of Birth: 21 Jan 1975 Parent's/Guardian's Occupation/Designation: central government employee
   
Office Address:
   
Address: AIR FORCE STATION DARJIPURA VADODARA GUJRAT 390022
Country: India State: Gujarat
City/District: VADODARA Pin: 390022
Tel: 09346591450 Mobile no.: 9560614556
Fax: Email: santoskumarrai7@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: AIR FORCE BAL BHARTI SCHOOL LODI ROAD DELHI School: KENDRIYA VIDYALAYA AFS MAKARPURA VADODARA
City: DELHI City: VADODARA
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Centre code:
  Address of School/College: kendriya vidyalaya, Makarpura, Afs road, NR-Jasoda Colony, Vadodara, Gujarat 390014
  Pin: 390014
  Contact Nos: 02652643808
  Email: kvafsbaroda@gmail.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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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