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: YASH TOMAR
Mother's Name: RAKHI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jul 2003 Nationality: INDIAN
Place of Birth: DELHI Personal Identification Mark: Mole on chin
Blood Group: O + Address for Communication: House no.178,street no.6,Block -C SIDDHARTH VIHAR
State: Uttar Pradesh Country: India
Pin: 201009 City/District: Ghaziabad
Mobile no: 9971916625 Telephone No. with STD code:
Aadhar Card No:360484507129 E-mail: Yashtomar102@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SUNIL TOMAR Relationship with candidate: FATHER
Parents Date of Birth: 05 Jun 1972 Parent's/Guardian's Occupation/Designation: PRIVATE JOB
   
Office Address:
   
Address: B-212, C.R PARK NEW DELHI
Country: India State: Delhi
City/District: DELHI Pin: 201009
Tel: Mobile no.: 8800094315
Fax: Email: ISHATOMAR204@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: ST TERESAS CONVENT SCHOOL School: DELHI PUBLIC SCHOOL SIDDHARTH VIHAR
City: Ghaziabad City: GHAZIABAD
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: PLOT NO. SCH/01, VISHWAKARMA ROAD, SIDDHARTH VIHAR, PRATAP VIHAR, GHAZIABAD, UTTAR PRADESH
  Pin: 201010
  Contact Nos:
  Email: dpssv@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 ?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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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