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: DNS2050344 Name: Winston Prince Baretto
  Address: Prince villa, pedamale post,neermarga, Mangalore Neermarga junction
Telephone No.: Mobile no: 9008408244
E-mail: princebaretto14@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 306021167
   
   
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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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: DNS2050344
 
Applicant's Personal Information:
 
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
 
Guardian's Particulars:
 
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
   
Office Address:
   
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
 

Education and Academic Record :


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
  Centre code: XC5952
  Address of School/College: P. B. No. 720, kodialbail post, Mangalore.
  Pin: 575003
  Contact Nos: 08242449718
  Email: staloysiuspuc@gmail.coma
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

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