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: DNS2178310
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PRATHAM JAIN
Mother's Name: NEERU JAIN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Dec 2002 Nationality: INDIAN
Place of Birth: SAHARANPUR Personal Identification Mark: CUT ON RIGHT EYEBROW
Blood Group: O + Address for Communication: PUSHP KUNJ ,SHALIMAR GARDEN, BEHAT ROAD, SAHARANPUR PUSHP KUNJ, SHALIMAR GARDEN, BEHAT ROAD, SAHARANPUR
State: Uttar Pradesh Country: India
Pin: 247001 City/District: SAHARANPUR
Mobile no: 7906401236 Telephone No. with STD code:
Aadhar Card No:988458248352 E-mail: jainmansi3008@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJKISHORE JAIN Relationship with candidate: FATHER
Parents Date of Birth: 02 Apr 1966 Parent's/Guardian's Occupation/Designation: BUSINESS MAN
   
Office Address:
   
Address: PUSHP KUNJ, SHALIMAR GARDEN, BEHAT ROAD, SAHARANPUR PUSHP KUNJ , SHALIMAR GARDEN , BEHAT ROAD, SAHARANPUR
Country: India State: Uttar Pradesh
City/District: SAHARANPUR Pin: 247001
Tel: Mobile no.: 9927126340
Fax: Email: jainpratham1223@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: LORD MAHAVIRA ACADEMY School: LORD MAHAVIRA ACADEMY
City: SAHARANPUR City: SAHARANPUR
English %: 98 Board Roll No./Seat No.:
Aggregate Percentage: 96 School/College Code:
  Centre code:
  Address of School/College: CHILKANA ROAD , SAHARANPUR, UTTAR PRADESH
  Pin: 247001
  Contact Nos:
  Email: lord_mahavira_academy@yahoo.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
02/2018 SCIENCE OLYMPIAD DISTRICT LEVEL GOLD MEDAL
11/2019 SCOUTS AND GUIDES CAMP SCHOOL LEVEL 3rd POSITION
06/2015 CRICKET TOURNAMENT DISTRICT LEVEL WINNER
05/2018 COOKING WITHOUT FIRE SCHOOL LEVEL 2nd POSITION
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL LIKE TO LEARN WORKING ON COMPUTER, TRY TO IMPROVE MY ENGLISH SPEAKING SKILLS
Why do you wish to join TMI?: AS TMI IS ONE OF THE MOST REPUTED COLLEGE IN THIS FIELD, HAVE EXCELLENT PLACEMENT RECORDS, GREAT INFRASTRUCTURE
What are your hobbies?: PLAYING CRICKET,FOOTBALL
What are your strengths?: DIAMOND SKILL OF TEAM WORK,TIME MANAGEMENT
What are your weaknesses?: I USUALLY TRUST PEOPLE EASILY
How do you intend to meet the expenses of this program?: Own Resources
 
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.