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: Mayank Kumar
Mother's Name: Usha Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Apr 2002 Nationality: INDIAN
Place of Birth: Begusarai Personal Identification Mark: Mole on left hand
Blood Group: B + Address for Communication: Gangotri Niwas Sangam vihar Singhaul pokhar Begusarai Bihar
State: Bihar Country: India
Pin: 851135 City/District: Begusarai
Mobile no: 9122196667 Telephone No. with STD code:
Aadhar Card No:216084745424 E-mail: mksingh8686@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj Kumar Singh Relationship with candidate: Father
Parents Date of Birth: 14 Nov 1967 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Baraunk Refinery Begusarai Bihar Bihar
Country: India State: Bihar
City/District: Begusarai Pin: 851134
Tel: Mobile no.: 9835089666
Fax: Email: mksingh8686@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board: Other
School: Saryug College chtragupt nagar 848101 School: P. G. C. P Girls School
City: Begusarai City: Samastipur
English %: 45 Board Roll No./Seat No.: 2022018622
Aggregate Percentage: 56 School/College Code: CW31050111
  Centre code: 202311
  Address of School/College: Kalyangpur chowk
  Pin: 848101
  Contact Nos: 7903771038
  Email: mksingh8686@gmail.com
  Aggregate Percentage: 59
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 37 37
Chemistry 100 72 72
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 63
English 100 55 55
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Digital marketing business
Why do you wish to join TMI?: Yes
What are your hobbies?: Bike race, study books, browsing , hacking
What are your strengths?: My Father
What are your weaknesses?: My Father
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 ________________

 
Print Summary and Application Form