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: DNS2174603
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Nishant Kumar Singh
Mother's Name: Veenita singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Dec 2002 Nationality: Indian
Place of Birth: Suryapura Personal Identification Mark: Mole on left knee
Blood Group: B + Address for Communication: House no 77 , devprayagam Colony Jhalwa Near iiit chauraha
State: Uttar Pradesh Country: India
Pin: 211012 City/District: Prayagraj
Mobile no: 9372919244 Telephone No. with STD code:
Aadhar Card No: E-mail: ns777777711@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Chandra Bhushan singh Relationship with candidate: Father
Parents Date of Birth: 05 Jul 1972 Parent's/Guardian's Occupation/Designation: Ex navy
   
Office Address:
   
Address: Jhalwa Devprayagam Colony
Country: India State: Uttar Pradesh
City/District: Prayagraj Pin: 211012
Tel: Mobile no.: 6282811634
Fax: Email: ns777777711@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Navy children school School: Navy children school
City: Cochin City: Cochin
English %: 86 Board Roll No./Seat No.: 24623570
Aggregate Percentage: 80 School/College Code: 76287
  Centre code: 7624
  Address of School/College: Navy children school, Naval base Cochin
  Pin: 682004
  Contact Nos:
  Email: ns777777711@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 77 77
Chemistry 100 85 85
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 74.67
English 100 96 96
   
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
08/2015 Handball Interhouse 1
07/2013 Painting Interhouse 3
02/2013 Skipping Interhouse 1
07/2017 Swimming Interhouse 3
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2016 Cricket coaching u14 Vizag district cricket association 1 month
08/2016 Ncc 7 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for various exam and spending time playing cricket and football
Why do you wish to join TMI?: Bcuz tmi is best shipping company.and I want some thrill plays chill life and in this job no rule regarding short hairs
What are your hobbies?: Playing cricket and football
What are your strengths?: I always think to improve and understand from other situation too.... winning attitude
What are your weaknesses?: Average at studies and little shy in starting
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.