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 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049721 Name: ATHUL AUGUSTINE
  Address: VALIYAVEETTIL H PALLIPORT PO PALLIPURAM, ERNAKULAM
Telephone No.: Mobile no: 9961808502
E-mail: athulaugustine321@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304296389
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049721 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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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
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2020

 
  Dossier ID: DNS2049721
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ATHUL AUGUSTINE
Mother's Name: SIMI E P
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Jun 2002 Nationality: INDIAN
Place of Birth: KODUNGALOOR Personal Identification Mark: BLACK MOLE ON RIGHT TOE
Blood Group: B + Address for Communication: VALIYAVEETTIL H PALLIPORT PO PALLIPURAM, ERNAKULAM
State: Kerala Country: India
Pin: 683515 City/District: ERNAKULAM
Mobile no: 9961808502 Telephone No. with STD code:
Aadhar Card No:207143251154 E-mail: athulaugustine321@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AUGUSTIN V A Relationship with candidate: FATHER
Parents Date of Birth: 16 Apr 1968 Parent's/Guardian's Occupation/Designation: AGENT-LIC, NATIONAL INSURANCE
   
Office Address:
   
Address: VALIYAVEETTIL H PALLIPORT PO PALLIPURAM, ERNAKULAM
Country: India State: Kerala
City/District: PALLIPURAM Pin: 683515
Tel: Mobile no.: 9961098932
Fax: Email: augustine932@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: INFANT JESUS PUBLIC SCHOOL School: INFANT JESUS PUBLIC SCHOOL
City: NORTH PARAVUR City: PARAVUR
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: NORTH PARAVUR, ERNAKULAM
  Pin: 683513
  Contact Nos:
  Email: infantjesuspublicschool@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 ?: I would rather go to coaching or engange in some interesting activities
Why do you wish to join TMI?: It offers good placement and education
What are your hobbies?: Watching movies, football
What are your strengths?: Very likely to be adjustable with anything, attitude, personality
What are your weaknesses?: Eating junk foods
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate Class X marksheet School leaving certificate Class XII admit card Class XII marksheet not uploaded
 
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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