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: KANHAIYA KUMAR
Mother's Name: Neetu devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Oct 2001 Nationality: INDIAN
Place of Birth: BIHAR Personal Identification Mark: A cut mark on right hand wrist
Blood Group: O + Address for Communication: Cheria bariyarpur, begusarai ,bihar Ward no.19
State: Bihar Country: India
Pin: 851132 City/District: BEGUSARAI
Mobile no: 7033141345 Telephone No. with STD code:
Aadhar Card No:524328527780 E-mail: imkanhaiyakumar09@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Pankaj singh Relationship with candidate: Father
Parents Date of Birth: 10 Jan 1978 Parent's/Guardian's Occupation/Designation: Driver
   
Office Address:
   
Address: .. ..
Country: India State: Bihar
City/District: Begusarai Pin: 851132
Tel: Mobile no.: 9934550817
Fax: Email: imkanhaiyakumar09@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: M.P.I.SR.SEC. ANGLO PUBLIC SCHOOL School: M.R.D.I.M COLLEGE
City: Begusarai City: BEGUSARAI
English %: 90 Board Roll No./Seat No.: 19010324
Aggregate Percentage: 90 School/College Code: 84022
  Centre code: 84022
  Address of School/College: Meghoul, begusarai bihar
  Pin: 851132
  Contact Nos:
  Email: imkanhaiyakumar09@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 86 86
Mathematics 100 92 92
Physics, Chemistry & Mathematics combined Percentage: 83.33
English 100 79 79
   
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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