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: DNS2174807
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ujjawal Tyagi
Mother's Name: Geeta Tyagi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Sep 2003 Nationality: INDIAN
Place of Birth: Roorkee Personal Identification Mark: Red mark on right hand shoulder
Blood Group: B + Address for Communication: Vill-Binarsi Post-Chudiyala Distt-Haridwar
State: Uttaranchal Country: India
Pin: 247667 City/District: Haridwar
Mobile no: 6397390316 Telephone No. with STD code:
Aadhar Card No:602004102539 E-mail: tyagiujju01@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Guruvachan Tyagi Relationship with candidate: Father
Parents Date of Birth: 16 Oct 1981 Parent's/Guardian's Occupation/Designation: Farming
   
Office Address:
   
Address: Vill-Binarsi Post-chudiyala Distt-Haridwar
Country: India State: Uttaranchal
City/District: Haridwar Pin: 247667
Tel: Mobile no.: 9639298660
Fax: Email: tyagiujju01@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Uttaranchal
School: DOON SR SEC PUBLIC SCHOOl School: DOON SR SEC PUBLIC SCHOOL
City: Roorkee City: Roorkee
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: Rampur Chungi Roorkee Haridwar
  Pin: 247667
  Contact Nos:
  Email: tyagiujju01@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 ?: Improving my skill Making my self a better version of me Making my mental strength as strong that I can handle any type of presdure
Why do you wish to join TMI?: I have heard this company offers good pay and benefits. I seeee this as a step to bigger and better things
What are your hobbies?: I like Traveling and Photography,
What are your strengths?: Enthusiasm, Discipline, Respectfulness, Patience, Dedication
What are your weaknesses?: Taking too many risks,Spontaneity
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.