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: DNS2177534
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sourabh Sharma
Mother's Name: Sarita Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jul 2003 Nationality: Indian
Place of Birth: Renukoot Personal Identification Mark: Mole on right hand
Blood Group: B + Address for Communication: NEAR SHYAM MANDIR PILANI, WARD-9 PILANI, JHUNJHUNU,RAJASTHAN 333031 S/0 BABU LAL SHARMA BEHIND SHYAM MANDIR PILANI
State: Rajasthan Country: India
Pin: 333031 City/District: JHUNJHUNU
Mobile no: 9079008589 Telephone No. with STD code:
Aadhar Card No: E-mail: saurhhub@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sarita sharma Relationship with candidate: Mother
Parents Date of Birth: 01 Jun 1986 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: NEAR SHYAM MANDIR WARD NO-9, PILANI, RAJASTHAN S/O BABU LAL SHARMA NEAR SHYAM MANDIR, WARD NO-9 PILANI, JHUNJHUNU
Country: India State: Rajasthan
City/District: jhunjhunu Pin: 333031
Tel: Mobile no.: 9079008589
Fax: Email: saurhhub@gmial.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: BIRLA SCHOOL PILANI School: BIRLA SCHOOL PILANI
City: PILANI City: PILANI
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 72 School/College Code:
  Centre code:
  Address of School/College: Birla School Pilani, Pilani, Rajasthan 333031
  Pin: 333031
  Contact Nos: 8085166841
  Email: sharmasourabh3022@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2018 BRASS BAND INTER BET SCHOOLS LEADER
12/2019 BRASS BAND IPSC BAND COMPETITION GUEST
08/2015 MARCH DEMOSTRATION SCHOOL PARTICIPANT
10/2019 BRASS BAND DISTRICT PARTICIPANT
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: well i would be producing music, coding, learning new language, learn cooking, maintain physique
Why do you wish to join TMI?: TMI is best institute as far as I know that give superior aura to students.
What are your hobbies?: Producing Music, cooking, Gym
What are your strengths?: Confidence, helping nature
What are your weaknesses?: Creativity
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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.