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: ABHISHEK KUMAR YADAV
Mother's Name: KUSUM LATA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Feb 2001 Nationality: INDIAN
Place of Birth: CHAKRADHARP Personal Identification Mark: A CUT MARK ON RIGHT KNEE
Blood Group: O + Address for Communication: KHANNA BLOCK WARD NO.17 NEAR PRABHAT CINEMA HALL CHAKRADHARPUR
State: Jharkhand Country: India
Pin: 833102 City/District: CHAKRADHARPUR
Mobile no: 6205826604 Telephone No. with STD code:
Aadhar Card No:735162935158 E-mail: ABHISHEKORTON258@GMAIL.COM
 
Guardian's Particulars:
 
Name of Parent/Guardian: PARMANAND YADAV Relationship with candidate: FATHER
Parents Date of Birth: 07 Jan 1972 Parent's/Guardian's Occupation/Designation: RAILWAY STAFF
   
Office Address:
   
Address: KHANNA BLOCK WARD NO.17 NEAR PRABHAT CINEMA HALL CHAKRADHARPUR
Country: India State: Jharkhand
City/District: CHAKRADHARPUR Pin: 833102
Tel: Mobile no.: 8404828847
Fax: Email: abhishekorton258@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: CBSE
School: ST XAVIER S ENGLISH SCHOOL CHAKRADHARPUR School: SHREE BAL KRISHNA PUBLIC SCHOOL
City: CHAKRADHARPUR City: MAU
English %: 59 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: SHREE BAL KRISHNA PUBLIC SCHOOL SHERPUR MAU UTTAR PRADESH
  Pin: 276129
  Contact Nos:
  Email: abhishekorton258@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 ?: MY INTENSION WAS TO STUDY MERCHANT NAVY DNS COURSE
Why do you wish to join TMI?: WILL BE CURSING THE COLLEGE FOR PT HECTIC SCHEDULE , PLACEMENT,AND TO BECOME A REAL GENTLEMAN
What are your hobbies?: PLAYING CRICKET, LISTENING SONG
What are your strengths?: I AM GOOD LEARNER
What are your weaknesses?: I FEEL BORING WHILE STUDYING HINDI
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 ________________

 
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