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: DNS2173841
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Pinakee Gairola
Mother's Name: Preeti Gairola
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Mar 2004 Nationality: Indian
Place of Birth: Dehradun Personal Identification Mark: Mole on left shoulder
Blood Group: AB + Address for Communication: 124 Teachers Colony, Govind Garh 66 Gandhi Road, Dehradun
State: Uttaranchal Country: India
Pin: 248001 City/District: Dehradun
Mobile no: 7906751902 Telephone No. with STD code: 07906751902
Aadhar Card No: E-mail: kamrok100@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Gairola Relationship with candidate: Father
Parents Date of Birth: 19 Apr 2007 Parent's/Guardian's Occupation/Designation: OAG II Transport Department
   
Office Address:
   
Address: 124 Teachers Colony, Govind Garh 66 Gandhi Road Dehradun
Country: India State: Uttaranchal
City/District: Dehradun Pin: 248001
Tel: Mobile no.: 7906751902
Fax: Email: kamrok100@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Delhi Public School Dehradun School: Delhi Public School Dehradun
City: Dehradun City: Dehradun
English %: 99 Board Roll No./Seat No.:
Aggregate Percentage: 96 School/College Code:
  Centre code:
  Address of School/College: 124 Teachers Colony, Govind Garh
  Pin: 248001
  Contact Nos: 07906751902
  Email: kamrok100@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2008 On the spot painting competition Open Third
07/2012 Inter DPS Art Exhibition State Consolation
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading my favourite books and future planning
Why do you wish to join TMI?: The best in class infrastructure and the placement quality is best in the industry.
What are your hobbies?: Drawing, Gaming, watching movies, playing basketball
What are your strengths?: I think twice before taking any action
What are your weaknesses?: I get carried away easily
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.