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: ashutosh kumar singh
Mother's Name: shusma rani
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jan 2003 Nationality: Indian
Place of Birth: haranahiya Personal Identification Mark: cut on the head above the eyebrow
Blood Group: A + Address for Communication: village-haranahiya,west champaran, bihar village-haranahiya,west champaran, bihar
State: Bihar Country: India
Pin: 845449 City/District: bettiah
Mobile no: 9473078698 Telephone No. with STD code:
Aadhar Card No:469872549232 E-mail: satishkr635@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: jata shankar singh Relationship with candidate: my father
Parents Date of Birth: 08 Mar 1973 Parent's/Guardian's Occupation/Designation: farmer
   
Office Address:
   
Address: village-haranahiya,west champaran, bihar village-haranahiya,west champaran, bihar
Country: India State: Bihar
City/District: bettiah Pin: 845449
Tel: Mobile no.: 6204335231
Fax: Email: singhashutoshkumar22@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Bihar Board: Bihar
School: utkramit m sch rajpur School: MAHANT RAMRUP GOSWAMI COLLEGE
City: narkatiaganj City: bettiah
English %: 42 Board Roll No./Seat No.: 20010116
Aggregate Percentage: 68 School/College Code: 35004
  Centre code: 203503767
  Address of School/College: bettiah
  Pin: 845438
  Contact Nos:
  Email: singhashutoshkumar22@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 65 65
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 68
English 100 93 93
   
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
04/2021 CRICKET DISTRICT AS A BATSMAN
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: BASICALLY AS A STUDENT, AND GOOD CRICKET PLAYER
Why do you wish to join TMI?: THIS IS A GOOD ACADEMY FOR DIPLOMA IN NAUTICAL SCIENCE. AND THE DESIGN OF THIS COLLEGE IS VERY GOOD, AND HIS ENVIRONMENT IS VERY WELL
What are your hobbies?: MY HOBBY IS LISTENING MUSIC AND WATCH MAHAHBHARAT,READING NOVAL AS PER AS SPORT RELATED SWIMING AND PLAYING CRICKET IS MY HOBBY
What are your strengths?: SIR, I AM A VERY HARDWORKING PERSON . IAM PUNCTUALLOYAL TOWADS MY WORK
What are your weaknesses?: SIR, I CAN NOT SAY NO IF ANYONEASK ME FOR HELP, THINK, THAT IS MY WEAKNESS
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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