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: DNS2050106 Name: S SASIDHARAN
  Address: No 28 1st street thainagar melapalayam Tirunelveli Tamilnadu Pin 627005
Telephone No.: 0462 2351144 Mobile no: 8300253465
E-mail: sasidhorac@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 305180912
   
   
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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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: DNS2050106
 
Applicant's Personal Information:
 
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
 
Guardian's Particulars:
 
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
   
Office Address:
   
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
 

Education and Academic Record :


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
  Centre code: 16500
  Address of School/College: Sainik school amaravathinagar Udumalpet Taluk Tirupur pin 642102
  Pin: 642102
  Contact Nos: 8300253465
  Email: sasidhorac@gmail.com
  Aggregate Percentage: 74
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
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
   
IMU CET Application Number:  
 
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
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded 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

 

___________________

Date ________________

 
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