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: DIVYANSH SINGH
Mother's Name: KIRAN SINGH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Oct 2003 Nationality: Indian
Place of Birth: Gonda up Personal Identification Mark: Join eyebrow
Blood Group: B + Address for Communication: Gopsarai Ghancha Tarabganj gonda
State: Uttar Pradesh Country: India
Pin: 271309 City/District: Gonda
Mobile no: 8795737563 Telephone No. with STD code:
Aadhar Card No:398902223957 E-mail: arsh8004105292@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ramesh singh Relationship with candidate: Father
Parents Date of Birth: 15 Jan 1976 Parent's/Guardian's Occupation/Designation: Aggriculter
   
Office Address:
   
Address: Gopsarai Ghancha Tarabganj gonda
Country: India State: Uttar Pradesh
City/District: Gonda Pin: 271309
Tel: Mobile no.: 6393560745
Fax: Email: arsh8004105292@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Uttar Pradesh Board: Uttar Pradesh
School: SSV INTER COLLEG SAHABGANJ FAIZABAD School: SSV INTER COLLEG SAHABGANJ FAIZABAD
City: Ayodhya City: Ayodhya
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Centre code:
  Address of School/College: Sahabganj faizabad
  Pin: 24001
  Contact Nos:
  Email: arsh8004105292@gmail.con
  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 ?: In perpration of entrence
Why do you wish to join TMI?: Have manny company
What are your hobbies?: Playing cricket
What are your strengths?: My faimly
What are your weaknesses?: My faimly
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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