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: DNS2050424 Name: PADMANABHAN M
  Address: PIRATHOOR,PAMPAKUDA PO,ERNAKULAM KOTTARAPATTU,KIZHAKEKKARA PO,MUVATTUPUZHA
Telephone No.: Mobile no: 6238212816
E-mail: padmanabhann1234@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 306270606
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050424 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2050424
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PADMANABHAN M
Mother's Name: JYOTHI MANOJ
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Feb 2001 Nationality: INDIAN
Place of Birth: PALA Personal Identification Mark: A BLACK MOLE ON THE LEFT SHOLDER
Blood Group: B + Address for Communication: PIRATHOOR,PAMPAKUDA PO,ERNAKULAM KOTTARAPATTU,KIZHAKEKKARA PO,MUVATTUPUZHA
State: Kerala Country: India
Pin: 686661 City/District: ERNAKULAM
Mobile no: 6238212816 Telephone No. with STD code:
Aadhar Card No:219179362842 E-mail: padmanabhann1234@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MANOJKUMAR S Relationship with candidate: FATHER
Parents Date of Birth: 25 Feb 1967 Parent's/Guardian's Occupation/Designation: EX SERVICEMEN
   
Office Address:
   
Address: SECURITY OFFICE ,LISSY HOSPITAL ,ERNAKULAM SECURITY OFFICE ,LISSY HOSPITAL,ERNAKULAM
Country: India State: Kerala
City/District: ernakulam Pin: 686667
Tel: Mobile no.: 9744558680
Fax: Email: manoj123@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Kerala Board: Kerala
School: NIRMALA HIGHER SECONDARY SCHOOL School: FR JOSEPH MEMORIAL HSS
City: MUVATTUPUZHA City: KOTHAMANGHALAM
English %: 94 Board Roll No./Seat No.: 6155683
Aggregate Percentage: 96 School/College Code: 07052
  Centre code: 07052
  Address of School/College: FRJOSEPH MEMORIAL HSS ,PUTHUPADYPO,ERNAKULAM
  Pin: 686673
  Contact Nos:
  Email: fjmhss07052@gmail.com
  Aggregate Percentage: 85
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 122 61
Chemistry 200 142 71
Mathematics 200 122 61
Physics, Chemistry & Mathematics combined Percentage: 64.33
English 100 85 85
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for various exams. Playing badminton
Why do you wish to join TMI?: Its my dream to join this college and to become an aspiring mariner.
What are your hobbies?: playing badminton,travelling and enjoying music.
What are your strengths?: Discipline. Patience. Respectfulness. Determination. Dedication
What are your weaknesses?: Lonliness
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form