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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: Akashdeep singh |
Mother's Name: Gurmit kaur |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Date of Birth (DD/MM/YY): 19 Dec 2001 |
Nationality: Indian |
Place of Birth: india |
Personal Identification Mark: black dot on chin and little golden beard |
Blood Group: B + |
Address for Communication: vilage kullian p/o garhdiwala dist. Hoshiarpur ,Punjab |
State: Punjab |
Country: India |
Pin: 144207 |
City/District: Hoshiarpur |
Mobile no: 9463287029 |
Telephone No. with STD code: |
Aadhar Card No:240060051891 |
E-mail: ps543251@gmail.com |
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Guardian's Particulars: |
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Name of Parent/Guardian: sourav singh |
Relationship with candidate: brother |
Parents Date of Birth: 27 Jun 1975 |
Parent's/Guardian's Occupation/Designation: student |
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Office Address: |
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Address: vill. kullian p/o garhdiwala dist. hoshiarpur ,Punjab |
Country: India |
State: Punjab |
City/District: Hoshiarpur |
Pin: 144207 |
Tel: |
Mobile no.: 7888626992 |
Fax: |
Email: ps543251@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: CBSE |
Board: Punjab |
School: Sant Baba Harnam Singh Khalsa Model School Garhdiwala |
School: ST college of nursing and medical sciences |
City: Hoshiarpur |
City: Hoshiarpur |
English %: 91 |
Board Roll No./Seat No.: |
Aggregate Percentage: 82 |
School/College Code: |
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Centre code: |
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Address of School/College: mehlawali,una road ,hoshiarpur,Punjab |
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Pin: 146110 |
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Contact Nos: 9855780801 |
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Email: ps543251@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 |
09/2019 |
Model of United Nations19 |
District |
participated as distinguish representative |
12/2015 |
NSTSE16 |
national |
11384 |
02/2020 |
His Helping Hands |
district |
member of donation team |
11/2019 |
Dr APJ innovation conclave |
district |
participation |
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How do you intend spending your time after completing class XII Final exams and before joining college ?: by joining gym .learning guitar and learning spoken
english |
Why do you wish to join TMI?: because it is a world recognized college and it has
best placement and facilities for dns. |
What are your hobbies?: playing guitar and volleyball |
What are your strengths?: my capability of retention |
What are your weaknesses?: introvert to little extent |
How do you intend to meet the expenses of this program?: Other - directly in hands of college |
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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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