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: ASHISH YADAV
Mother's Name: SIRJAWATI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 May 2002 Nationality: INDIAN
Place of Birth: BARSAINA Personal Identification Mark: ON RIGHT SHOULDER LINE MARK
Blood Group: O + Address for Communication: VILL AND POST BARSAINA , DIST. KUSHINAGAR , UTTAR PRADESH 274207 VILL AND POST BARSAINA , DIST. KUSHINAGAR , UTTAR PRADESH 274207
State: Uttar Pradesh Country: India
Pin: 274207 City/District: KUSHINAGAR
Mobile no: 7307268305 Telephone No. with STD code: 7307268305
Aadhar Card No:927862710234 E-mail: ASHISH6375Y@GMAIL.COM
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJU YADAV Relationship with candidate: FATHER
Parents Date of Birth: 20 Oct 1979 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VILL AND POST BARSAINA DIST KUSHINAGAR UTTAR PRADESH 274207 VILL AND POST BARSAINA DIST KUSHINAGAR UTTAR PRADESH 274207
Country: India State: Uttar Pradesh
City/District: KUSHINAGAR Pin: 274207
Tel: 8573009081 Mobile no.: 8573009081
Fax: Email: ASHISH8573Y@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: RPM ACADEMY School: RPM ACADEMY
City: GORAKHPUR City: GORAKHPUR
English %: 83 Board Roll No./Seat No.: 23643056
Aggregate Percentage: 83 School/College Code: 70515
  Centre code: 7122
  Address of School/College: KUSHMHI BAZAR GORAKHPUR UTTAR PRADESH
  Pin: 273002
  Contact Nos:
  Email: ASHISH6375Y@GMAIL.COM
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 92 92
Chemistry 100 73 73
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 83
English 100 91 91
   
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 ________________

 
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