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: DNS2175444
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANIKET RAJYAWARDHAN
Mother's Name: SANGITA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Nov 2002 Nationality: INDIAN
Place of Birth: Banka Personal Identification Mark: Cut Mark on Left Check
Blood Group: B + Address for Communication: vill-Vishwakarma Dhouri,Po-Rajpur, P/s-Belhar
State: Bihar Country: India
Pin: 813202 City/District: Banka
Mobile no: 6352022972 Telephone No. with STD code: 6352022972
Aadhar Card No:231337558748 E-mail: aniketrajyawardhan@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANATAN KUMAR GUPTA Relationship with candidate: FATHER
Parents Date of Birth: 15 Jan 1975 Parent's/Guardian's Occupation/Designation: Private Job
   
Office Address:
   
Address: vill-vishwakarma dhouri, po-Rajpur p/s-Belhar
Country: India State: Bihar
City/District: BANKA Pin: 813202
Tel: Mobile no.: 7004617574
Fax: Email: sanatan_kumar@ymail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: KN MEMO ACADEMY School: NEW HORIZON SCHOOL
City: MUNGER City: BHAGALPUR
English %: 81 Board Roll No./Seat No.: 22608014
Aggregate Percentage: 77 School/College Code: 65280
  Centre code: 6526
  Address of School/College: SHAHPUR TAMAUNI, SIMARIA, BHAGALPUR, BIHAR, 812001
  Pin: 813201
  Contact Nos:
  Email: ambrishrbhardwaj@gmail.com
  Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 69 69
Chemistry 100 53 53
Mathematics 100 47 47
Physics, Chemistry & Mathematics combined Percentage: 56.33
English 100 68 68
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Planning and preparing for Carrier, and travelling
Why do you wish to join TMI?: TMI is best possible way to meet my passion
What are your hobbies?: Travelling and Playing Sports
What are your strengths?: Ability of Planning and execution
What are your weaknesses?: Foodie
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card Class XII marksheet
 
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.