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 Dhiman
Mother's Name: Saroj
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Apr 2003 Nationality: Indian
Place of Birth: Ambala Personal Identification Mark: Mole on nose
Blood Group: B + Address for Communication: 473 VISHAVKARMA NAGAR BEHIND SAKET HOSPITAL AMBALA CANTT 473 VISHAVKARMA NAGAR BEHIND SAKET HOSPITAL AMBALA CANTT
State: Haryana Country: India
Pin: 133001 City/District: Ambala
Mobile no: 7496818628 Telephone No. with STD code:
Aadhar Card No: E-mail: abhi022003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Pardeep Kumar Relationship with candidate: Father
Parents Date of Birth: 05 Jan 1975 Parent's/Guardian's Occupation/Designation: Carpenter
   
Office Address:
   
Address: Saha, Ambala, Haryana Saha, Ambala, Haryana
Country: India State: Haryana
City/District: Ambala cantonment Pin: 133001
Tel: Mobile no.: 7496818628
Fax: Email: abhi022003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Bhartiya Public School School: Bhartiya Public School
City: Ambala City: Ambala
English %: 88 Board Roll No./Seat No.: 17601805
Aggregate Percentage: 81 School/College Code: 04006
  Centre code: 2009
  Address of School/College: 473 VISHAVKARMA NAGAR BEHIND SAKET HOSPITAL AMBALA CANTT
  Pin: 133001
  Contact Nos: 7496818628
  Email: abhi022003@gmail.com
  Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 89 89
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 82.67
English 100 94 94
   
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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