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: DEEPANKAN MISHRA
Mother's Name: GEETA MISHRA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Mar 2002 Nationality: INDIAN
Place of Birth: CHANDIGARH Personal Identification Mark: MOLE ON RIGHT LEG
Blood Group: O + Address for Communication: 103-A/34 MIRJAPUR KALYANPUR KANPUR NAGAR
State: Uttar Pradesh Country: India
Pin: 208017 City/District: KANPUR CITY
Mobile no: 6392757268 Telephone No. with STD code:
Aadhar Card No:299764112406 E-mail: mdeepankan@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRAVEEN KUMAR MISHRA Relationship with candidate: FATHER
Parents Date of Birth: 20 Jun 1972 Parent's/Guardian's Occupation/Designation: EX ARMY MAN
   
Office Address:
   
Address: 103-A/34 MIRJAPUR KALYANPUR KANPUR NAGAR
Country: India State: Uttar Pradesh
City/District: KANPUR CITY Pin: 208017
Tel: Mobile no.: 8707420287
Fax: Email: praveenkumar14616@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: ARMY PUBLIC SCHOOL School: ARMY PUBLIC SCHOOL
City: KANPUR CITY City: KANPUR CITY
English %: 85 Board Roll No./Seat No.: 5694951
Aggregate Percentage: 89 School/College Code: 08861
  Centre code: 2130048
  Address of School/College: NEAR CIVIL AERODROME KANPUR CANTT
  Pin: 208004
  Contact Nos: 6392757268
  Email: mdeepankan@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 82 82
Mathematics 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 70.67
English 100 76 76
   
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
04/2018 FOOTBALL CBSE CLUSTER 3
09/2017 FOOTBALL SCHOOL NATIONAL 3
072016 FOOTBALL INTERSCHOOL 3
042017 SWIMMING INTERSCHOOL 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WAS PREPARING FOR UPSC NDA.
Why do you wish to join TMI?: I WISH TO JOIN TMI BECAUSE IT IS THE BEST COLLEGE FOR DNS COURSE.
What are your hobbies?: PLAYING FOOTBALL ,TRAVELLING,HELPING PEOPLE
What are your strengths?: IM VERY DETERMINED TOWARDS MY GOAL,AND IM A HARD WORKING GUY
What are your weaknesses?: ASKING FOR HELP
How do you intend to meet the expenses of this program?: Bank Loan
 
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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