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: PRIYANKA PRIYADARSINI PARIDA
Mother's Name: Malati parida
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 May 2003 Nationality: IND
Place of Birth: MALKANGIRI Personal Identification Mark: Face
Blood Group: O + Address for Communication: At lathiaguda road, dnk, malkangiri Near new police station, dnk, malkangiri
State: Orissa Country: India
Pin: 764048 City/District: Malkangiri
Mobile no: 7684059228 Telephone No. with STD code:
Aadhar Card No:872358768307 E-mail: priyankaparida979@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ashok kumar parida Relationship with candidate: Father
Parents Date of Birth: 29 Apr 1973 Parent's/Guardian's Occupation/Designation: Police
   
Office Address:
   
Address: At lathiaguda road, dnk, malkangiri Near new police station, dnk, malkangiri
Country: India State: Orissa
City/District: Malkangiri Pin: 764048
Tel: Mobile no.: 9078492555
Fax: Email: ashokmalati390@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KENDRIYA VIDYALAYA MALKANGIRI School: DOON INTERNATIONAL SCHOOL BHUBANESWAR
City: Malkangiri City: Bhubaneswar
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: Near AIIMS SIJUA, PATRAPADA BBSR
  Pin: 751019
  Contact Nos:
  Email: principaldooninternationalschool@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 ?: Revising 11th and 12th syllabus
Why do you wish to join TMI?: I think TMI is good company and I think it would be a great place for me to progress In this career.
What are your hobbies?: Singing
What are your strengths?: I am very much organized and complete my work neatly..
What are your weaknesses?: I am impatient.
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 ________________

 
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