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: Aditya Sharma
Mother's Name: Neelam Sharma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Aug 2003 Nationality: Indian
Place of Birth: Delhi Personal Identification Mark: No
Blood Group: B + Address for Communication: L-2A/36 Mohan garden, Uttam Nagar L-2A/36 Mohan garden, Uttam Nagar L-2A/36 Mohan garden, Uttam Nagar
State: Delhi Country: India
Pin: 110059 City/District: New Delhi
Mobile no: 9313737355 Telephone No. with STD code: 9313737355
Aadhar Card No:375406602209 E-mail: adityasharma2003zx@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj Kumar Sharma Relationship with candidate: Father
Parents Date of Birth: 01 Oct 1975 Parent's/Guardian's Occupation/Designation: Private service
   
Office Address:
   
Address: Tilak Nagar Tilak Nagar Tilak Nagar
Country: India State: Delhi
City/District: New Delhi Pin: 110059
Tel: 91 Mobile no.: 9871668107
Fax: Email: adityasharma2003zx@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kamal Model Sr.Sec School School: Kamal Model Sr. sec. School
City: New Delhi City: New Delhi
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Centre code:
  Address of School/College: K-1 Extension Mohan garden, New Delhi
  Pin: 110059
  Contact Nos:
  Email: kamalmodelschool@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
11/2012 50m sprint School level 1st
12/2015 100m relay race School level 3rd
12/2017 Yoga competition District level 1st
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
08/2019 Athlete 3months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: If covid situation is not too big then firstly for 10-15 days I will be in rajasthan for a trip or picnic and after coming from there I will Give my time in learning some languages like German and French And also learn to built the speed in coding
Why do you wish to join TMI?: A
What are your hobbies?: I am good in football, volleyball and boxing
What are your strengths?: Meditation
What are your weaknesses?: New computer games
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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