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: DNS2180914
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Deepesh Raghav
Mother's Name: Ms Sunita Raghav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Sep 2004 Nationality: Indian
Place of Birth: Aligarh Personal Identification Mark: black spot on left chik
Blood Group: B + Address for Communication: Geeta vihar behind engineer colony quarsi bypass road aligarh
State: Uttar Pradesh Country: India
Pin: 202001 City/District: aligarh
Mobile no: 8958667720 Telephone No. with STD code:
Aadhar Card No:775802985021 E-mail: deepeshraghav1122@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dushyant Raghav Relationship with candidate: father
Parents Date of Birth: 06 Aug 1972 Parent's/Guardian's Occupation/Designation: agriculture
   
Office Address:
   
Address: Geeta vihar colony behind engineer colony quarsi bypass
Country: India State: Uttar Pradesh
City/District: Aligarh Pin: 202001
Tel: Mobile no.: 8958667720
Fax: Email: deepeshraghav1122@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Raghubir bal mandir senior sec school aligarh School: raghubir bal mandir senior sec school
City: aligarh City: Aligarh
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Centre code:
  Address of School/College: ramghat road aligarh
  Pin: 202001
  Contact Nos:
  Email: deepeshraghav1122@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 ?: by reading books and i will badminton to keep me fit
Why do you wish to join TMI?: becuase i heared it from my relatives that this college has made a very good image in all things
What are your hobbies?: playing badminton reading novels
What are your strengths?: emotionally i am very strong
What are your weaknesses?: i have no weakness
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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.