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: Pulkit pranav
Mother's Name: Manju kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Oct 2002 Nationality: Indian
Place of Birth: Samastipur Personal Identification Mark: A mole on the nose
Blood Group: O + Address for Communication: At - Bishunpur Bathua VIA- Dighra Block-Pusa
State: Bihar Country: India
Pin: 848115 City/District: Samastipur
Mobile no: 9955387473 Telephone No. with STD code:
Aadhar Card No:270646447924 E-mail: plktprnv@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Yeshvant kumar singh Relationship with candidate: Father
Parents Date of Birth: 05 Feb 1983 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: At - Bishunpur Bathua VIA- Dighra Block-Pusa
Country: India State: Bihar
City/District: Samastipur Pin: 848115
Tel: 09934919028 Mobile no.: 9955387473
Fax: Email: plktprnv@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Bihar
School: S D Vidyapith P. Colony Dharampur Samastipur School: L S College Muzaffarpur
City: Samastipur City: Muzaffarpur
English %: 95 Board Roll No./Seat No.: 19010334
Aggregate Percentage: 95 School/College Code: 31011
  Centre code: 31011
  Address of School/College: kalambagh road, B. R. Ambedkar Bihar University, Muzaffarpur, Bihar
  Pin: 842001
  Contact Nos:
  Email: lscollegeprincipal@gmail.com
  Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 62 62
Chemistry 100 73 73
Mathematics 100 45 45
Physics, Chemistry & Mathematics combined Percentage: 60
English 100 71 71
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Staying home and studying self
Why do you wish to join TMI?: For future and I want work with TMI
What are your hobbies?: Travelling
What are your strengths?: Honesty
What are your weaknesses?: Using excess social media
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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