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: DNS2049862 Name: NITHISH KUMAR B
  Address: No.8, Swamy Alagr Nagar A.Kosakulam Madurai-625017
Telephone No.: 0452-2643217 Mobile no: 9994409917
E-mail: valornithish@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 304674242
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049862 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: DNS2049862
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NITHISH KUMAR B
Mother's Name: Reena Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Nov 2002 Nationality: Indian
Place of Birth: Madurai Personal Identification Mark: A scar on the right Elbow
Blood Group: B + Address for Communication: No.8, Swamy Alagr Nagar A.Kosakulam Madurai-625017
State: Tamil Nadu Country: India
Pin: 625017 City/District: Madurai
Mobile no: 9994409917 Telephone No. with STD code: 0452-2643217
Aadhar Card No:525727352463 E-mail: valornithish@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Baskaran Thanikodi Relationship with candidate: Father
Parents Date of Birth: 07 May 1965 Parent's/Guardian's Occupation/Designation: Government Employee
   
Office Address:
   
Address: No.8 Swamy Alagar Nagar A.Kosakulam Madurai-625017
Country: India State: Tamil Nadu
City/District: Madurai Pin: 625017
Tel: Mobile no.: 9865014468
Fax: Email: baskaranthanikodi@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Tamil Nadu Board: Tamil Nadu
School: C.E.O.A. Matric. Hr.Sec.School School: C.E.O.A. Matric. Hr.Sec.School
City: Madurai City: Madurai
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: C.E.O.A. Matric. Hr.Sec.School, A.Kosakulam, Madurai-625017
  Pin: 625017
  Contact Nos:
  Email: ceoaschools@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
07/2019 Throw Ball Zonal Level Winner
07/2018 Throw Ball Zonal Level Winner
07/2015 100m Dash School Level First Place
07/2015 200m Dash School Level Second Place
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for Various Entrance examinations and prepping for interviews, Joining Musical Classes and Learning Mixed Martial Arts, Reading a Novel
Why do you wish to join TMI?: To became a well trained Deck Cadet
What are your hobbies?: Literature, Music, sports,
What are your strengths?: Dedication and enthusiasm
What are your weaknesses?: Shyness
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving 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

 

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Date ________________

 
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