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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: DNS2050106 |
Name: S SASIDHARAN |
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Address: No 28 1st street thainagar melapalayam Tirunelveli Tamilnadu Pin 627005 |
| Telephone No.: 0462 2351144 |
Mobile no: 8300253465 |
| E-mail: sasidhorac@gmail.com |
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| Application fee payment details: |
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| Payment Status: failure |
Payment Mode: Online |
| Amount: ₹ 200 |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 305180912 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050106 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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___________________ |
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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: S SASIDHARAN |
| Mother's Name: K Bharataharani |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 20 Jan 2002 |
Nationality: Indian |
| Place of Birth: Tirunelveli |
Personal Identification Mark: Scar on fore head |
| Blood Group: B + |
Address for Communication: No 28 1st street thainagar melapalayam Tirunelveli Tamilnadu Pin 627005 |
| State: Tamil Nadu |
Country: India |
| Pin: 627005 |
City/District: Tirunelveli |
| Mobile no: 8300253465 |
Telephone No. with STD code: 0462 2351144 |
| Aadhar Card No:264142380122 |
E-mail: sasidhorac@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: K Bharatharani |
Relationship with candidate: Mother |
| Parents Date of Birth: 26 Mar 1965 |
Parent's/Guardian's Occupation/Designation: PA to GM in Bsnl office tirunelveli |
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| Office Address: |
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| Address: No 28 1st street thainagar melapalayam Tirunelveli |
| Country: India |
State: Tamil Nadu |
| City/District: Tirunelveli |
Pin: 627005 |
| Tel: |
Mobile no.: 9486103465 |
| Fax: |
Email: sasidhorac@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2017 |
Year of Passing: 2019 |
| Board: CBSE |
Board: CBSE |
| School: Sainik school amaravathinagar |
School: Sainik school amaravathinagar |
| City: Tirupur |
City: Tirupur |
| English %: 86 |
Board Roll No./Seat No.: 4621140 |
| Aggregate Percentage: 80 |
School/College Code: 2191 |
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Centre code: 16500 |
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Address of School/College: Sainik school amaravathinagar Udumalpet Taluk
Tirupur pin 642102
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Pin: 642102 |
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Contact Nos: 8300253465 |
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Email: sasidhorac@gmail.com |
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Aggregate Percentage: 74 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
79 |
79 |
| Chemistry |
100 |
76 |
76 |
| Mathematics |
100 |
56 |
56 |
| Physics, Chemistry & Mathematics combined Percentage: |
70.33 |
| English |
100 |
84 |
84 |
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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 ?: By going classes like type writing, and sports classes |
| Why do you wish to join TMI?: One of the best institution |
| What are your hobbies?: Playing |
| What are your strengths?: Easily understandable |
| What are your weaknesses?: Thinking to much about loss |
| How do you intend to meet the expenses of this program?: Own Resources |
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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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