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: DNS2050144 Name: MANIKANTA VENKATESH NAIK
  Address: 42/b DABBOD ADUKALA HONNAVAR
Telephone No.: Mobile no: 9380139626
E-mail: maninaik162212@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 305259678
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050144 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: DNS2050144
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MANIKANTA VENKATESH NAIK
Mother's Name: MANGALA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Sep 2000 Nationality: INDIAN
Place of Birth: MANKI Personal Identification Mark: A MOLE ON THIGH REGION
Blood Group: A + Address for Communication: 42/b DABBOD ADUKALA HONNAVAR
State: Karnataka Country: India
Pin: 581348 City/District: UTTARA KANNADA
Mobile no: 9380139626 Telephone No. with STD code:
Aadhar Card No:828223788538 E-mail: maninaik162212@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MANGALA Relationship with candidate: MOTHER
Parents Date of Birth: 10 May 1979 Parent's/Guardian's Occupation/Designation: HOUSEHOLD
   
Office Address:
   
Address: 42/b DABBOD ADUKALA HONNAVAR
Country: India State: Karnataka
City/District: UTTARA KANNADA Pin: 581348
Tel: Mobile no.: 9353619314
Fax: Email: manojvnaik143@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Karnataka Board: Karnataka
School: SHRI ATMANANDA SARASWATHI VIDYALAYA School: SDM PU COLLEGE UJIRE
City: BELTHANGADY City: BELTHANGDI
English %: 81 Board Roll No./Seat No.: 868425
Aggregate Percentage: 83 School/College Code: SS029
  Centre code: XC5962
  Address of School/College: UJIRE , BELTHANGDI TQ, D K DT
  Pin: 574240
  Contact Nos:
  Email: sdmcollege@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 64 64
Mathematics 100 56 56
Physics, Chemistry & Mathematics combined Percentage: 63.67
English 100 62 62
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARING FOR IMU CET AND SPONSORSHIP EXAM
Why do you wish to join TMI?: TMI IS ONE OF THE BEST MARITIME INSTITUTE IN INDIA
What are your hobbies?: READING BOOKS
What are your strengths?: FAMILY
What are your weaknesses?: PLAYING GAMES
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
 
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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