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: DNS2180547
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Adarsh yadav
Mother's Name: Shobha yadav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 May 2002 Nationality: Indian
Place of Birth: Kanpur Personal Identification Mark: Mole on left side of the chest
Blood Group: O + Address for Communication: 58/B MANGLA VIHAR 2 NEW PAC LINE KANPUR
State: Uttar Pradesh Country: India
Pin: 208015 City/District: KANPUR
Mobile no: 9336682772 Telephone No. with STD code:
Aadhar Card No:952000367529 E-mail: adarshyadav46486@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AZAD SINGH YADAV Relationship with candidate: FATHER
Parents Date of Birth: 10 May 1978 Parent's/Guardian's Occupation/Designation: ARMY MAN
   
Office Address:
   
Address: 58/B MANGLA VIHAR 2 NEW PAC LINE KANPUR
Country: India State: Uttar Pradesh
City/District: KANPUR Pin: 208015
Tel: Mobile no.: 9336682772
Fax: Email: adarshyadav46486@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Uttar Pradesh Board: CBSE
School: ARMY PUBLIC SCHOOL School: ARMY PUBLIC SCHOOL
City: KANPUR CITY City: KANPUR
English %: 85 Board Roll No./Seat No.: 5694915
Aggregate Percentage: 83 School/College Code: 08861
  Centre code: 5218
  Address of School/College: NEAR CIVIL AERODROME CANTT KANPUR
  Pin: 208004
  Contact Nos: 9336682772
  Email: adarshyadav46486@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 63 63
Chemistry 100 70 70
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 63.33
English 100 95 95
   
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
10/2018 FOOTBALL CBSE CLUSTER 3
11/2015 FOOTBALL COMMAND 3
11/2016 BASKETBALL COMMAND PARTICIPATION
07/2016 FOOTBALL INTERSCHOOL 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WAS PREPARING FOR DEFENCE EXAMS
Why do you wish to join TMI?: BECAUSE IT IS THE BEST COLLEGE FOR DNS COURSE
What are your hobbies?: PLAYING FOOTBALL ,TRAVELLING,HELPING PEOPLE
What are your strengths?: IM VERY DETERMINED TOWARDS MY GOAL,AND IM A HARD WORKING GUY
What are your weaknesses?: ASKING FOR HELP
How do you intend to meet the expenses of this program?: 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.