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: Sanskar kumar
Mother's Name: Meena devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Jan 2004 Nationality: Indian
Place of Birth: Jharkhand Personal Identification Mark: Tattoo
Blood Group: B + Address for Communication: Jalpura greater noida Jalpura greater noida Jalpura geater noida
State: Uttar Pradesh Country: India
Pin: 201306 City/District: Greater noida
Mobile no: 8448435185 Telephone No. with STD code:
Aadhar Card No:782542319205 E-mail: seafarerbk359@gmail.com
 
Guardian's Particulars:
 
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Parents Date of Birth: Parent's/Guardian's Occupation/Designation:
   
Office Address:
   
Address:
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Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Rainbow public school School: UMA PUBLIC SCHOOL
City: Dehrakuti Hapur City: greater noida
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code: 59301
  Centre code:
  Address of School/College: Ghanghola maincha greater noida
  Pin: 201301
  Contact Nos:
  Email: seafarerbk359@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2018 running between school third
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to spend my time on my self development and extra curricular activities
Why do you wish to join TMI?: I wish to like join TMI because TMI give me opportunities for apply in many shipping company
What are your hobbies?: playing cricket and singing
What are your strengths?: I am dedicated and having leadership quatily
What are your weaknesses?: sometimes feelin shy in people gathering
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

 

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Date ________________

 
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