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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 2020)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2050070 |
Name: PUNEETH S DEVADIGA |
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Address: Vishwambara Pithrody,udyavara,udupi,karnataka |
| Telephone No.: |
Mobile no: 7975817449 |
| E-mail: devadigapuneeth143@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 305060341 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050070 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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| Date ________________ |
Date ________________ |
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| 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. |
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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: PUNEETH S DEVADIGA |
| Mother's Name: Sandhya S Devadiga |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 01 Mar 2002 |
Nationality: Indian |
| Place of Birth: Udupi |
Personal Identification Mark: Mole between jawline |
| Blood Group: AB + |
Address for Communication: Vishwambara Pithrody,udyavara,udupi,karnataka |
| State: Karnataka |
Country: India |
| Pin: 574118 |
City/District: Udupi |
| Mobile no: 7975817449 |
Telephone No. with STD code: |
| Aadhar Card No:635271859694 |
E-mail: devadigapuneeth143@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Shekara S Devadiga |
Relationship with candidate: Father |
| Parents Date of Birth: 01 Feb 1966 |
Parent's/Guardian's Occupation/Designation: Business |
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| Office Address: |
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| Address: Matangadi udyavara Udupi,karnataka |
| Country: India |
State: Karnataka |
| City/District: Udupi |
Pin: 574118 |
| Tel: |
Mobile no.: 9972387031 |
| Fax: |
Email: devadigashekara321@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: Karnataka |
Board: Karnataka |
| School: St.francis.xavier.english.medium.school |
School: Poorna prajna college |
| City: Udupi |
City: Udupi |
| English %: 86 |
Board Roll No./Seat No.: |
| Aggregate Percentage: 88 |
School/College Code: |
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Centre code: |
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Address of School/College: Poorna prajna college udupi |
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Pin: 574118 |
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Contact Nos: |
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Email: udupi.ppucollege@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 |
100 |
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| IMU CET Application Number: |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: I will utilize my time for preparation of sponsorship test and for imu cet |
| Why do you wish to join TMI?: Many of companies are with tmi and infrastructure is also good when compared to other college and I know it will help in my carrier in merchant navy and I heard discipline and education is also good |
| What are your hobbies?: My hobby is swimming |
| 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 |
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| Review you documents: |
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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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