Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science 2021)


Application Summary:
 
Course Enrolled (First Choice): B.Sc. Nautical Science Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2185878 Name: Mukundan M
  Address: Vimal House,Jubilee Road ,Thammanam, cochin Vimal House ,Jubilee Road, Thammanam, Cochin
Telephone No.: Mobile no: 8078410898
E-mail: mukundanm719@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 438509838
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185878 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2185878
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mukundan M
Mother's Name: Kavitha M
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Nov 2003 Nationality: India
Place of Birth: Tirunelveli Personal Identification Mark: Birthmark on face
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 02 Nov 2003 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
 
Address for Communication: Vimal House,Jubilee Road ,Thammanam, cochin Vimal House ,Jubilee Road, Thammanam, Cochin
State: Kerala Country: India
Pin: 682032 City/District: Ernakulam
Mobile no: 8078410898 Telephone No. with STD code:
Aadhar Card No: E-mail: mukundanm719@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Muthukrishnan Relationship with candidate: Father
Parents Date of Birth: 21 Apr 1968 Parent's/Guardian's Occupation/Designation: Hotel Management
   
Office Address:
   
Address: Hotel Aryaas,Intuc junction, Nettoor,Ernakulam Hotel Aryaas, Intuc junction, Nettoor, Ernakulam
Country: India State: Kerala
City/District: Ernakulam Pin: 682032
Tel: 09895990989 Mobile no.: 9895990989
Fax: Email: kannankavitha968@email.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Nalanda Public School School: Nalanda Public School
City: Ernakulam City: Ernakulam
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Address of School/College: Nalanda Public School, Kuthapady,Thammanam, Cochin
  Centre code:
  Pin: 682032
  Contact Nos:
  Email: mukundan719@email.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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2017 Kick Boxing National Level Gold
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepared for Entrance Exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Well I think Nautical science is always good option for anyone who is looking to be in the shipping industry and sail the world at large.
Why do you wish to join TMI?: One of the best institutions for B.Sc Nautical Science and for placements
What are your hobbies?: Kabadi,football etc
What are your strengths?: Self confidence
What are your weaknesses?: Depreciation
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate 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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