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: Prahlad kumar
Mother's Name: Asha devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Sep 2003 Nationality: Indian
Place of Birth: Jamui Personal Identification Mark: Mark of small cut on right leg plam
Blood Group: A + Address for Communication: Maina chater , aliganj, jamui MAINA CHATER ,jamui
State: Bihar Country: India
Pin: 811301 City/District: Jamui
Mobile no: 6202887143 Telephone No. with STD code:
Aadhar Card No:307142337699 E-mail: prahladkr0527@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Avinash kumar Relationship with candidate: Father
Parents Date of Birth: 22 Sep 1979 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Maina chater , aliganj, jamui Maina chater, aliganj, jamui
Country: India State: Bihar
City/District: JAMUI Pin: 811310
Tel: Mobile no.: 6202887143
Fax: Email: prahladkr0527@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Jnv munger School: Jnv vaishali
City: Munger City: Hazipur
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: Hazipur , vaishali
  Pin: 844123
  Contact Nos: 6202887143
  Email: prahladkr0527@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number: 423355  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
04/2020 Cricket District level 10
04/2021 Cricket District level 9
04/2021 Cricket District level 8
04/2021 Cricket District level 7
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Continue my studies
Why do you wish to join TMI?: I want to job in this field,my relatives also in that field ,I like this very much
What are your hobbies?: Study
What are your strengths?: My knowledge
What are your weaknesses?: Game
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 ________________

 
Print Summary and Application Form