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: Gaiz Zaamfir Balarath
Mother's Name: Ruksana Ak
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Dec 2002 Nationality: Indian
Place of Birth: Kozhikode Personal Identification Mark: Black mole on chest
Blood Group: O + Address for Communication: 27/879 BALARATH BANGLA ROAD MINIBYPASS PO THIRUVANNUR
State: Kerala Country: India
Pin: 673029 City/District: Kozhikode
Mobile no: 9746096930 Telephone No. with STD code: 04952323597
Aadhar Card No:587367249870 E-mail: gaizzbalarath2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Tariq Gafoor Relationship with candidate: Father
Parents Date of Birth: 09 Oct 1975 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: 27/879 BALARATH BANGLA ROAD MINIBYPASS PO THIRUVANNUR
Country: India State: Kerala
City/District: Kozhikode Pin: 673029
Tel: 04952323597 Mobile no.: 9895406161
Fax: Email: gaizzbalarath2002@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Silver Hills Public School School: KAILASANADHA VIDYANIKETHAN
City: Kozhikode City: Kozhikode
English %: 87 Board Roll No./Seat No.: 24624760
Aggregate Percentage: 82 School/College Code: 75607
  Centre code: 7628
  Address of School/College: 27/879 BALARATH BANGLA ROAD MINIBYPASS PO THIRUVANNUR
  Pin: 673029
  Contact Nos: 09895406161
  Email: gaizzbalarath2002@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 59 59
Mathematics 100 44 44
Physics, Chemistry & Mathematics combined Percentage: 58.67
English 100 86 86
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying, knowing more about technology
Why do you wish to join TMI?: Beacause it gives best future for merchant navy
What are your hobbies?: Reading , knowing more about technologies
What are your strengths?: Leadership skills, analytical skills, communication
What are your weaknesses?: Multitasking too much,self criticism
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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