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: DNS2174803
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aditya suryansh
Mother's Name: Suneeta gautam
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 May 2003 Nationality: Indian
Place of Birth: LUCKNOW Personal Identification Mark: No
Blood Group: O + Address for Communication: MM D-1/315/LDA COLONY KANPUR ROAD LUCKNOW PARAG DIARY
State: Uttar Pradesh Country: India
Pin: 226012 City/District: LUCKNOW
Mobile no: 8317041678 Telephone No. with STD code: 8317041678
Aadhar Card No:579923629310 E-mail: adityasuryansh805@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Suryanath prasad Relationship with candidate: Father
Parents Date of Birth: 30 Mar 1973 Parent's/Guardian's Occupation/Designation: Electrical officer
   
Office Address:
   
Address: MM D-1/315/LDA COLONY KANPUR ROAD LUCKNOW PARAG DIARY
Country: India State: Uttar Pradesh
City/District: LUCKNOW Pin: 226012
Tel: 9454058027 Mobile no.: 9454058027
Fax: Email: adityasuryansh805@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Chiranjiv bharati school School: Chiranjiv bharati school
City: LUCKNOW City: LUCKNOW
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Centre code:
  Address of School/College: Ashiyana Colony, Sector M, Ashiyana, Lucknow, Uttar Pradesh
  Pin: 226012
  Contact Nos: 09454058027
  Email: adityasuryansh805@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 ?: Joining the hobby classes and Attend a Career Counseling Session.
Why do you wish to join TMI?: Because there is a lot of opportunities in tmi there were dozens of companies visit in tmi and it is one of the best college for sea courses
What are your hobbies?: Playing volleyball watching movie reading books
What are your strengths?: I never give up and doing any work with full dedication
What are your weaknesses?: Sometimes doing a lot of work i forgot about the food
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.