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: DNS2176768
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Anurag Anand Kishore
Mother's Name: Manju kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Sep 2002 Nationality: Indian
Place of Birth: Nagpur Personal Identification Mark: Stitch mark on left
Blood Group: O + Address for Communication: G-403 CASA AURELIA EPIC PALVA LODHA DOMBIVALI
State: Maharashtra Country: India
Pin: 421204 City/District: THANE
Mobile no: 8928335625 Telephone No. with STD code:
Aadhar Card No:932715716235 E-mail: anuragkishore000@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Umesh Kumar Relationship with candidate: Father
Parents Date of Birth: 09 Apr 1969 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: G-403 CASA AURELIA EPIC PALVA LODHA DOMBIVALI
Country: India State: Maharashtra
City/District: Thane Pin: 421204
Tel: 6005939102 Mobile no.: 6005939102
Fax: Email: uk186536@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Kv 2 Colaba mumbai School: SRI CHAITANYA VIDYA NIKETAN VISHAKAPATNAM
City: Mumbai City: Vishakapatnam
English %: 84 Board Roll No./Seat No.: 20651500
Aggregate Percentage: 74 School/College Code: 57076
  Centre code: 5907
  Address of School/College: Sri Chaitanya Marikavalasa, Madhurawada, Visakhapatnam
  Pin: 530048
  Contact Nos:
  Email: knr279@gmail.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 81 81
Chemistry 100 77 77
Mathematics 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 76.67
English 100 95 95
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: As this time we all had been under lockdown so I use to do my household work and use to study some general knowledge.
Why do you wish to join TMI?: I had heard a lot about TMI. I want a good career in future.
What are your hobbies?: Playing football
What are your strengths?: Continuous Learning
What are your weaknesses?: Nervousness about public speaking
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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