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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 - 2020
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Applicant's Personal Information: |
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Full Name as on Class XII Marksheet/Pass Certificate: Aftab ahmed |
Mother's Name: Gulishta |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 12 Mar 2003 |
Nationality: Indian |
Place of Birth: Ambala cant |
Personal Identification Mark: Cut on right eye |
Blood Group: B + |
Address for Communication: Haryana Ambala cantt House no.three ram Krishan colony |
State: Haryana |
Country: India |
Pin: 133001 |
City/District: Ambala cantt |
Mobile no: 9812766126 |
Telephone No. with STD code: |
Aadhar Card No:651829587503 |
E-mail: Akmalking00786@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: Naseem ahmad |
Relationship with candidate: Father of candidate |
Parents Date of Birth: 11 Nov 1983 |
Parent's/Guardian's Occupation/Designation: Labour |
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Office Address: |
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Address: Haryana Ambala cantt House no 3ram Krishan colony |
Country: India |
State: Haryana |
City/District: Ambala cantt |
Pin: 133001 |
Tel: |
Mobile no.: 7015089247 |
Fax: |
Email: aftabkhan14714@gmail.com |
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Education and Academic Record :
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Class X: - |
Class XII: - |
Year of Passing: 2018 |
Year of Passing: 2020 |
Board: Haryana |
Board: Haryana |
School: Jain girls sen. Sec.school |
School: Jain girls sen sec.school |
City: Ambala cantt |
City: Ambala cantt |
English %: 82 |
Board Roll No./Seat No.: |
Aggregate Percentage: 83 |
School/College Code: |
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Centre code: |
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Address of School/College: Rai market ambala cantt |
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Pin: 133001 |
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Contact Nos: |
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Email: aftabkhan14714@gmail.com |
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Aggregate Percentage: |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
100 |
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Chemistry |
100 |
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Mathematics |
100 |
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Physics, Chemistry & Mathematics combined Percentage: |
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English |
100 |
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IMU CET Application Number: |
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How do you intend spending your time after completing class XII Final exams and before joining college ?: I will go to coaching for imu cet |
Why do you wish to join TMI?: My guardian advised me for tolani |
What are your hobbies?: Boxing |
What are your strengths?: Chemistry |
What are your weaknesses?: Maths |
How do you intend to meet the expenses of this program?: Own Resources |
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Review you documents: |
Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
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Date ________________ |
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