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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: DNS2050344 |
Name: Winston Prince Baretto |
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Address: Prince villa, pedamale post,neermarga, Mangalore Neermarga junction |
| Telephone No.: |
Mobile no: 9008408244 |
| E-mail: princebaretto14@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: 306021167 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050344 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: Winston Prince Baretto |
| Mother's Name: Philomena Walter Baretto |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 01 Apr 2001 |
Nationality: Indian |
| Place of Birth: Mangalore |
Personal Identification Mark: Beauty spot on the left wrist |
| Blood Group: O + |
Address for Communication: Prince villa, pedamale post,neermarga, Mangalore Neermarga junction |
| State: Karnataka |
Country: India |
| Pin: 575029 |
City/District: Mangaluru |
| Mobile no: 9008408244 |
Telephone No. with STD code: |
| Aadhar Card No:748589236572 |
E-mail: princebaretto14@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Philomena Walter Baretto |
Relationship with candidate: Mother |
| Parents Date of Birth: 16 Apr 1975 |
Parent's/Guardian's Occupation/Designation: Teacher |
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| Office Address: |
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| Address: Prince villa, pedamale post,neermarga, Mangalore Neermarga junction |
| Country: India |
State: Karnataka |
| City/District: Mangaluru |
Pin: 575029 |
| Tel: |
Mobile no.: 9743902737 |
| Fax: |
Email: princebaretto14@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: Karnataka |
Board: Karnataka |
| School: Milagres junior college |
School: St. Aloysius Pu college |
| City: Mangaluru |
City: Mangaluru |
| English %: 96 |
Board Roll No./Seat No.: 202431 |
| Aggregate Percentage: 87 |
School/College Code: SS002 |
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Centre code: XC5952 |
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Address of School/College: P. B. No. 720, kodialbail post, Mangalore. |
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Pin: 575003 |
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Contact Nos: 08242449718 |
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Email: staloysiuspuc@gmail.coma |
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Aggregate Percentage: 80 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
68 |
68 |
| Chemistry |
100 |
86 |
86 |
| Mathematics |
100 |
84 |
84 |
| Physics, Chemistry & Mathematics combined Percentage: |
79.33 |
| English |
100 |
78 |
78 |
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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 ?: Preparing myself for the coming entrance exams and molding myself to face my future in shipping line. |
| Why do you wish to join TMI?: It is a well know college and my dream is to be there. |
| What are your hobbies?: Singing, playing, listening to music, studying. |
| What are your strengths?: I can handle any tough situation, good in communicating, hadr working, loyal and humble to my work. |
| What are your weaknesses?: Short tempered. |
| 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
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Class XII admit card not uploaded
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Class XII marksheet
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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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