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: DNS2050227 Name: NAMBALA SRINIVAS SAI UMA SHANKAR
  Address: Flat No.201 Sri Madhava Swami Towers, Narsimha Nagar, Visakhapatnam 530007 Flat No.201 Sri Madhava Swami Towers, Narsimha Nagar, Visakhapatnam 530007
Telephone No.: Mobile no: 6303692844
E-mail: srinivasnambala1803@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050227 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: DNS2050227
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NAMBALA SRINIVAS SAI UMA SHANKAR
Mother's Name: Lalitha Devi Nambala
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jan 2003 Nationality: INDIAN
Place of Birth: vizag Personal Identification Mark: mole on left palm
Blood Group: O + Address for Communication: Flat No.201 Sri Madhava Swami Towers, Narsimha Nagar, Visakhapatnam 530007 Flat No.201 Sri Madhava Swami Towers, Narsimha Nagar, Visakhapatnam 530007
State: Andhra Pradesh Country: India
Pin: 530007 City/District: visakhapatnam
Mobile no: 6303692844 Telephone No. with STD code:
Aadhar Card No:414070394260 E-mail: srinivasnambala1803@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Koteswar Rao Nambala Relationship with candidate: Father
Parents Date of Birth: 25 Jan 1973 Parent's/Guardian's Occupation/Designation: Government Service
   
Office Address:
   
Address: Naval Dockyard Visakhapatnam 530014 Naval Dockyard Visakhapatnam 530014
Country: India State: Andhra Pradesh
City/District: Visakhapatnam Pin: 530014
Tel: Mobile no.: 7675081818
Fax: Email: nkrao360@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Andhra Pradesh Board: Andhra Pradesh
School: Sri Chaitanya EM School School: Ascent Junior College
City: Visakhapatnam City: Visakhapatnam
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Ascent Junior College
  Pin: 530003
  Contact Nos:
  Email: srinivasnambala1803@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150
Chemistry 150
Mathematics 300
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will apply for IMU CET and prepare for getting a good score in it.
Why do you wish to join TMI?: I searched in web abou the best institutes for DNS coarse. I found that tolani institute is one of them
What are your hobbies?: Reading my syllabus, learning interesting thing in YouTube, playing badminton, swimming, watching movies
What are your strengths?: Im disciplined, I try to take every situation in a positive way, which makes me not to get into any trouble
What are your weaknesses?: I think im lagging behind in communication skills
How do you intend to meet the expenses of this program?: Own Resources,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 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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