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: DNS2177109
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Raju Kumar Mahato
Mother's Name: Ranjana Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Oct 2001 Nationality: Indian
Place of Birth: KATIHAR Personal Identification Mark: Birth mark on right leg
Blood Group: B + Address for Communication: Hasona Sonaili Kadwa
State: Bihar Country: India
Pin: 855114 City/District: KATIHAR
Mobile no: 9110092067 Telephone No. with STD code:
Aadhar Card No:683589932917 E-mail: rajumahato4517pt@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Naresh Mahato Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1978 Parent's/Guardian's Occupation/Designation: Auto driver
   
Office Address:
   
Address: Hasona Sonaili Kadwa
Country: India State: Bihar
City/District: KATIHAR Pin: 855114
Tel: Mobile no.: 9110092067
Fax: Email: rajumahato4517pt@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Sainik School Purulia School: Sainik School Purulia
City: Purulia City: Purulia
English %: 86 Board Roll No./Seat No.: 6147092
Aggregate Percentage: 86 School/College Code: 08436
  Centre code: 6259
  Address of School/College: Sainik School Purulia
  Pin: 723104
  Contact Nos:
  Email: sspurulia1962@gmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 76 76
Chemistry 100 65 65
Mathematics 100 45 45
Physics, Chemistry & Mathematics combined Percentage: 62
English 100 84 84
   
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
09/2017 NCC A District Grade A
05/2019 NCC A District Grade A
07/2017 Hockey State 1st
08/2017 Hockey National 4th
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
01/2019 CATC 9 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for NDA/NA and NEET
Why do you wish to join TMI?: Good education and facilities. Amongst the most popular institutes of India.
What are your hobbies?: Teaching and solving sudoku
What are your strengths?: Disciplined, dedicated and Punctual
What are your weaknesses?: I am too frank
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.