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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: Kuljinder Singh |
Mother's Name: Veerpal Kaur |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 01 Jan 2002 |
Nationality: INDIAN |
Place of Birth: Bathinda |
Personal Identification Mark: Cut mark on lower left arm |
Blood Group: A + |
Address for Communication: SAS Nagar ST NO.26 MCB Z6 00446 Bathinda |
State: Punjab |
Country: India |
Pin: 151001 |
City/District: Bathinda |
Mobile no: 6284304606 |
Telephone No. with STD code: |
Aadhar Card No: |
E-mail: kuljindersingh59@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: Veerpal Kaur |
Relationship with candidate: Mother |
Parents Date of Birth: 15 Mar 1981 |
Parent's/Guardian's Occupation/Designation: ICDS worker |
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Office Address: |
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Address: MCB Z6 07522 st.no.5 Pratap Nagar , Bathinda |
Country: India |
State: Punjab |
City/District: Bathinda |
Pin: 151001 |
Tel: |
Mobile no.: 9463790616 |
Fax: |
Email: bbrar372@gamil.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: Punjab |
Board: Punjab |
School: SANAWAR An Institute For Childern |
School: B.G.S.B.U.S Senior Secondary School |
City: Bthinda |
City: TARNTARAN |
English %: 87 |
Board Roll No./Seat No.: |
Aggregate Percentage: 84 |
School/College Code: |
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Centre code: |
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Address of School/College: VPO Khadur Sahib ,Tarntaran |
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Pin: 146117 |
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Contact Nos: |
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Email: brarbrar0609@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 |
75 |
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IMU CET Application Number: |
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Sports & Extra Curricular Activities: |
Achievements in Sports and Extra Curricular Activities |
MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
11/2016 |
Boxing |
State |
5th |
08/2016 |
Boxing |
District |
1st |
08/2017 |
Boxing |
District |
2nd |
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How do you intend spending your time after completing class XII Final exams and before joining college ?: Looking For Different carrier options. |
Why do you wish to join TMI?: As I wish to join Merchant Navy I found TMI best in terms of Education Infrastructure Placement and many more reason are there moreover its Fee structure sutes me and family income .
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What are your hobbies?: Book Reading , Cycling |
What are your strengths?: Physique, Determination, Harworking |
What are your weaknesses?: solving puzzles , overconfidence |
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan |
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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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