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: Om Vedant
Mother's Name: Sarita Sinha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jun 2003 Nationality: Indian
Place of Birth: bokaro Personal Identification Mark: Black spot in left hand thumb
Blood Group: AB + Address for Communication: Hospital colony, kathara BDS-19
State: Jharkhand Country: India
Pin: 829116 City/District: bokaro
Mobile no: 6203627571 Telephone No. with STD code:
Aadhar Card No: E-mail: omvedantsarita34@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Niraj kumar sinha Relationship with candidate: Father
Parents Date of Birth: 20 Jan 1973 Parent's/Guardian's Occupation/Designation: Private job
   
Office Address:
   
Address: N/A N/A
Country: India State: Jharkhand
City/District: Bokaro Pin: 829116
Tel: Mobile no.: 7909056429
Fax: Email: omvedantsarita34@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DAV PUBLIC SCHOOL School: DAV PUBLIC SCHOOL
City: bokaro City: Bokaro
English %: 74 Board Roll No./Seat No.:
Aggregate Percentage: 67 School/College Code:
  Centre code:
  Address of School/College: DAV PUBLIC SCHOOL, sawang
  Pin: 829128
  Contact Nos:
  Email: omvedantsarita34@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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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