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: DNS2049747 Name: Abhishek k
  Address: Sidhipradha kuthpadi, udupi Sidhipradha kuthpadi, udupi
Telephone No.: Mobile no: 9380769574
E-mail: abhishek.k.bangera@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304367576
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049747 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: DNS2049747
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abhishek k
Mother's Name: Savitha k
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Aug 2002 Nationality: India
Place of Birth: Udupi Personal Identification Mark: Mole on left hand
Blood Group: O + Address for Communication: Sidhipradha kuthpadi, udupi Sidhipradha kuthpadi, udupi
State: Karnataka Country: India
Pin: 574118 City/District: Udupi
Mobile no: 9380769574 Telephone No. with STD code:
Aadhar Card No:516300578241 E-mail: abhishek.k.bangera@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Savitha k Relationship with candidate: Mother
Parents Date of Birth: 26 Oct 1978 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: Sidhipradha kuthpadi, udupi Sidhipradha kuthpadi, udupi
Country: India State: Karnataka
City/District: Udupi Pin: 574118
Tel: Mobile no.: 9902284487
Fax: Email: savitha.k.bangera@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Karnataka Board: Karnataka
School: Saint Francis Xavier Eng medium high school School: PoornaPrajna Pu college
City: Udupi City: Udupi
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: PoornaPrajna campus, udupi
  Pin: 576101
  Contact Nos: 08202521286
  Email: abhishek.k.bangera@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2020 Abacus State First
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will utilise my time in preparation of sponsorship test and for imu cet
Why do you wish to join TMI?: Many ITF company are tieing up with TMI and the infrastructure is also good compared to other colleges
What are your hobbies?: Gaming
What are your strengths?: Self confidence
What are your weaknesses?: Straight forward
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded 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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