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: Mrityunjay
Mother's Name: Rajani Dubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Dec 2001 Nationality: Indian
Place of Birth: hisar Personal Identification Mark: Black mole on left shoulder
Blood Group: A - Address for Communication: 6 DC colony urban estate 2
State: Haryana Country: India
Pin: 125001 City/District: hisar
Mobile no: 9729347526 Telephone No. with STD code:
Aadhar Card No:807719585690 E-mail: mrityunjaydubey63@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anjul dubey Relationship with candidate: father
Parents Date of Birth: 15 May 1972 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: 6 DC colony urban estate 2
Country: India State: Haryana
City/District: hisar Pin: 125001
Tel: Mobile no.: 9729347506
Fax: Email: mrityunjaydubey63@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: O P Jindal Modern School School: OP JINDAL MODERN SCHOOL
City: hisar City: hisar
English %: 85 Board Roll No./Seat No.: 2642417
Aggregate Percentage: 8 School/College Code: 04291
  Centre code: 2112
  Address of School/College: 6 DC colony urban estate 2
  Pin: 125001
  Contact Nos: 09729347506
  Email: mrityunjaydubey63@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 55 55
Chemistry 100 65 65
Mathematics 100 49 49
Physics, Chemistry & Mathematics combined Percentage: 56.33
English 100 82 82
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: big relaxation relax for a while and then eventually,to take rest and work upon the scenarios of building a career
Why do you wish to join TMI?: I WANT TO JOIN TMI BECAUSE ITS THE BEST INSTITUTE IN INDIA OR EVEN IN ASIA FOR MARINE ENGINEERING
What are your hobbies?: PLAY BASKETBALL
What are your strengths?: VERY HARDWORKING
What are your weaknesses?: SHORT TEMPERED
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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