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: DNS2177219
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Varadraj Deepak Zarkar
Mother's Name: Santoshi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Nov 2002 Nationality: Indian
Place of Birth: Parbhani Personal Identification Mark: Mole on left hand forefinger
Blood Group: O + Address for Communication: Komti Gali parbhani Near gandhi park
State: Maharashtra Country: India
Pin: 431401 City/District: Parbhani
Mobile no: 8767177807 Telephone No. with STD code:
Aadhar Card No:580785711065 E-mail: varadrajzarkar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Deepak Zarkar Relationship with candidate: Father
Parents Date of Birth: 05 Jul 1971 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: Komti Gali parbhani Near gandhi park
Country: United Kingdom State: Maharashtra
City/District: Parbhani Pin: 431401
Tel: 08767177807 Mobile no.: 9881263368
Fax: Email: deepakzarkar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: St. Augustine English School School: N.V.S Marathwada junior college
City: Parbhani City: Parbhani
English %: 54 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: Khandoba Bazar, Parbhani
  Pin: 431401
  Contact Nos:
  Email: Hm2nvsmh@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would spend my time improving my physical health and endorse in self in skillful course
Why do you wish to join TMI?: For good placement in reputed companies,good pay scale and find myself a suitable candidate
What are your hobbies?: In sports like badminton and cricket.
What are your strengths?: Hard working, displined, determined
What are your weaknesses?: Not comfortable taking risks sometimes
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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.