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: Abhinav kumar
Mother's Name: Kailash kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Aug 1999 Nationality: Indian
Place of Birth: Aligarh Personal Identification Mark: Scar at forehead
Blood Group: B + Address for Communication: In front of Shriram Dharamshala,Mitra nagar In front of Shriram Dharamshala,Mitra nagar In front of shriram Dharamshala,Mitra nagar
State: Uttar Pradesh Country: India
Pin: 202001 City/District: Aligarh
Mobile no: 6395805867 Telephone No. with STD code: 916395805867
Aadhar Card No:468704313984 E-mail: virendrabhi8791@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Virendra kumar Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1975 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: In front of Shriram Dharamshala,Mitra nagar In front of Shriram Dharamshala,Mitra nagar In front of shriram Dharamshala,Mitra nagar
Country: India State: Uttar Pradesh
City/District: Aligarh Pin: 202001
Tel: 06395805867 Mobile no.: 9639174606
Fax: Email: virendrabhi@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2020
Board: CBSE Board: CBSE
School: G.D Public senior secondry school School: Private
City: Aligarh City: Aligarh
English %: 95 Board Roll No./Seat No.: 21612336
Aggregate Percentage: 79 School/College Code: 99999
  Centre code: 6015
  Address of School/College: Shankar vihar Colony,Quarsi,Aligarh
  Pin: 202001
  Contact Nos: 06395805867
  Email: virendrabhi@gmail.com
  Aggregate Percentage: 48
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 53 53
Chemistry 100 47 47
Mathematics 100 33 33
Physics, Chemistry & Mathematics combined Percentage: 44.33
English 100 56 56
   
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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