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: DNS2180078
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MUKESH CHOUDHARY
Mother's Name: GHISI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Mar 2001 Nationality: INDIA
Place of Birth: KARKERI Personal Identification Mark: I MOLE ON FACE
Blood Group: AB + Address for Communication: KARKERI KARKERI KARKERI
State: Rajasthan Country: India
Pin: 305819 City/District: AJMER
Mobile no: 9982159331 Telephone No. with STD code:
Aadhar Card No:975932418988 E-mail: mukesh01032001mukesh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHYONATH RAM CHOUDHARY Relationship with candidate: FATHER
Parents Date of Birth: 05 Jul 1972 Parent's/Guardian's Occupation/Designation: 1
   
Office Address:
   
Address: KARKERI KARKERI KARKERI
Country: India State: Rajasthan
City/District: AJMER Pin: 305819
Tel: Mobile no.: 9982159331
Fax: Email: MUKESH01032001MUKESH@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Rajasthan Board: Rajasthan
School: VIVEKANAND BA NIKETAN SR SEC SCHOOL KARKERI ROOPANGARH AJMER School: TAGORE SHIKSHAN SANSTHAN SR SEC SCH KUCHAMAN CITY NAGAUR
City: AJMER City: NAGAUR
English %: 70 Board Roll No./Seat No.: 2658059
Aggregate Percentage: 74 School/College Code: 1190325
  Centre code: 1190325
  Address of School/College: KUCHAMAN CITY NAGAUAR
  Pin: 341508
  Contact Nos:
  Email: MUKESH01032001MUKESH@GMAIL.COM
  Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 59 59
Chemistry 100 72 72
Mathematics 100 50 50
Physics, Chemistry & Mathematics combined Percentage: 60.33
English 100 72 72
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: MUYAR COLLEGE KUCHAMAN CITY NAGAUR
Why do you wish to join TMI?: 1
What are your hobbies?: RED
What are your strengths?: 1
What are your weaknesses?: 1
How do you intend to meet the expenses of this program?: Own Resources,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 ________________

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