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: DNS2178026
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dayanand kumar
Mother's Name: Sangita devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Jan 2003 Nationality: Indian
Place of Birth: Begusarai Personal Identification Mark: A cut mark on chin
Blood Group: O + Address for Communication: Vill - Pachamba Po - Shuirdnagar , pin 851218 Dis - Begusarai
State: Bihar Country: India
Pin: 851218 City/District: Begusarai
Mobile no: 7903548249 Telephone No. with STD code:
Aadhar Card No:946849800247 E-mail: raunak121999@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajeev kumar Relationship with candidate: Father
Parents Date of Birth: 01 Feb 1973 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Vill - Pachamba Po - Shuirdnagar
Country: India State: Bihar
City/District: Begusarai Pin: 851218
Tel: Mobile no.: 7903548249
Fax: Email: raunak121999@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Jawahar Navodaya Vidyalaya School: Jawahar Navodaya Vidyalaya
City: Begusari City: Begusarai
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: At Bishanpur Begusari
  Pin: 851101
  Contact Nos:
  Email: raunak121999@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 ?: Final exam
Why do you wish to join TMI?: Intrest
What are your hobbies?: Playing
What are your strengths?: Father
What are your weaknesses?: No
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

 

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Date ________________