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: DNS2182805
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PRASOON KUMAR
Mother's Name: KANCHAN KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Oct 2004 Nationality: INDIAN
Place of Birth: MUNGER Personal Identification Mark: A MOLE MARK ON THE LEFT CHEEK
Blood Group: A + Address for Communication: AT DARIAPUR GUMTI NO 17 PO SAROBAG PS DHARHARA
State: Bihar Country: India
Pin: 811214 City/District: MUNGER
Mobile no: 8340478153 Telephone No. with STD code:
Aadhar Card No:578440128397 E-mail: kk289340@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRAMOD KUMAR Relationship with candidate: FATHER
Parents Date of Birth: 07 Oct 1973 Parent's/Guardian's Occupation/Designation: TECHING
   
Office Address:
   
Address: AT DARIAPUR GUMTI NO 17 PO SAROBAG PS DHARHARA
Country: India State: Bihar
City/District: MUNGER Pin: 811214
Tel: Mobile no.: 8825238868
Fax: Email: prasoon1234jmp@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DAV PUB SCH NAYATOLAA KESHOPUR JAMALPUR MUNGER School: new horizon school
City: MUNGER City: BHAGALPUR
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: BHAGALPUR
  Pin: 812001
  Contact Nos:
  Email: prasoon1234jmp@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 ?: Reading and practical test for sponsorship test
Why do you wish to join TMI?: For bright future
What are your hobbies?: Reading and Yoga
What are your strengths?: Faith in God
What are your weaknesses?: Trust anyone easily
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.