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: DNS2179745
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SAMEER SINGH
Mother's Name: Pinki singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Jan 2003 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: None
Blood Group: A + Address for Communication: 302/11 Shastri nagar Kanpur
State: Uttar Pradesh Country: India
Pin: 208005 City/District: Kanpur
Mobile no: 6307346780 Telephone No. with STD code: 6307346780
Aadhar Card No:211233752927 E-mail: sameer.official.singh14@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rakesh kumar singh Relationship with candidate: Father
Parents Date of Birth: 06 Sep 1975 Parent's/Guardian's Occupation/Designation: Private worker
   
Office Address:
   
Address: C-34 panki industrial state Kanpur Kanpur
Country: India State: Uttar Pradesh
City/District: Kanpur Pin: 208005
Tel: 06307346780 Mobile no.: 9651669770
Fax: Email: GETSAMEERSINGH@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: Swaraj india public school School: Swaraj india public school
City: Kanpur City: Kanpur
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Centre code:
  Address of School/College: 117/M/8 kakdeo kanpur
  Pin: 208019
  Contact Nos:
  Email: info@sipsknp.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
08/2018 Basketball School level 3rd
08/2019 Basketball School level 3rd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing video games. Teaching small children. And studying for the entrance exam.
Why do you wish to join TMI?: For good placement and salary.
What are your hobbies?: Playing cricket . Playing basketball. Dancing. EsportsDrawing.
What are your strengths?: Teamwork. Honesty. Dedication. Self control
What are your weaknesses?: Insecure. Short temper. Too sensitive
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.