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: KANHIYA KUMAR
Mother's Name: PRATIMA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Mar 2001 Nationality: INDIAN
Place of Birth: LAKHISARAI Personal Identification Mark: A CUT MARK ON FOREHEAD
Blood Group: O + Address for Communication: VILL-JAGDISHPUR PO-SINGHCHAK PS-KIUL
State: Bihar Country: India
Pin: 811311 City/District: LAKHISARAI
Mobile no: 7250419646 Telephone No. with STD code:
Aadhar Card No:922385090389 E-mail: kanhaiyasingh2299@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: HIRENDRA SINGH Relationship with candidate: FATHER
Parents Date of Birth: 03 Feb 1959 Parent's/Guardian's Occupation/Designation: HAWALDAR
   
Office Address:
   
Address: VILL-JAGDISHPUR PO-SINGHCHAK PS-KIUL
Country: India State: Bihar
City/District: LAKHISARAI Pin: 811311
Tel: Mobile no.: 7292948989
Fax: Email: kanhiyasingh2299@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: G R K D A V PUBLIC SCHOOL PURULIA School: GYAN ASTHALI BHADEJA BUNIYADGANJ GAYA BIHAR
City: PURULIA City: GAYA
English %: 90 Board Roll No./Seat No.: 7616817
Aggregate Percentage: 95 School/College Code: 50224
  Centre code: 7057
  Address of School/College: GAYA
  Pin: 823003
  Contact Nos:
  Email: kanhiyasingh2299@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 59 59
Chemistry 100 62 62
Mathematics 100 61 61
Physics, Chemistry & Mathematics combined Percentage: 60.67
English 100 85 85
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION FOR ENGINEERING
Why do you wish to join TMI?: TO EARN MONEY
What are your hobbies?: READ
What are your strengths?: I AM HARD WORKING
What are your weaknesses?: I COULD NOT FIND
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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