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: DNS2176782
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aryan shri pandey
Mother's Name: Hemlata Shri pandey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Jul 2003 Nationality: Indian
Place of Birth: Durg Personal Identification Mark: Mark on right forearm
Blood Group: O + Address for Communication: Sainagar urla durg near Railway station Near railway station state ware house corporation bishrampur
State: Chattisgarh Country: India
Pin: 490006 City/District: DURG
Mobile no: 8435409479 Telephone No. with STD code:
Aadhar Card No:278705278192 E-mail: pandeyaryan819@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Devendra Shri pandey Relationship with candidate: Father
Parents Date of Birth: 27 Oct 1967 Parent's/Guardian's Occupation/Designation: Clerk, state ware house corporation
   
Office Address:
   
Address: State ware house corporation bishrampur State ware house corporation bishrampur
Country: India State: Chattisgarh
City/District: Bishrampur Pin: 497226
Tel: 09926116661 Mobile no.: 9926116661
Fax: Email: aryannpandeyyy@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: D.A.V Public School bishrampur School: D.A.V Public School hudco bhilai
City: Bishrampur City: Bhilai
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Centre code:
  Address of School/College: Hudco bhilai
  Pin: 490009
  Contact Nos:
  Email: davps.bhilai@rediffmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I want to join martial arts gym and work on my body
Why do you wish to join TMI?: I have a burning desire to ride the ocean I want to become the captain of the Ship and in this company i think i will get enough exposure and work knowledge for tht
What are your hobbies?: I love watching ufc and learning new things
What are your strengths?: I am a hard worker
What are your weaknesses?: I get stressed when i miss my deadlines
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 ________________

 
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