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: DNS2050830 Name: PRATHVI M ACHARYA
  Address: Ashirvad Nilaya, Nava Nagara Katla, Iddya village 7th Block Krishnapura, Surathkal-575 014 Mangaluru, Dakshina Kannada
Telephone No.: Mobile no: 8971725961
E-mail: prathvia450@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 307212183
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050830 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: DNS2050830
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PRATHVI M ACHARYA
Mother's Name: Deepika M Acharya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 May 2001 Nationality: Indian
Place of Birth: Mangaluru Personal Identification Mark: Both the shoulders
Blood Group: O + Address for Communication: Ashirvad Nilaya, Nava Nagara Katla, Iddya village 7th Block Krishnapura, Surathkal-575 014 Mangaluru, Dakshina Kannada
State: Karnataka Country: India
Pin: 575014 City/District: Dakshina Kannada
Mobile no: 8971725961 Telephone No. with STD code:
Aadhar Card No:578779211525 E-mail: prathvia450@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Deepika M Acharya Relationship with candidate: Mother
Parents Date of Birth: 17 Apr 1971 Parent's/Guardian's Occupation/Designation: Tailor
   
Office Address:
   
Address: Ashirvad Nilaya, Nava Nagara Katla,Iddya Village 7th Block Krishnapura, Surathkal. Mangaluru, Dakshina Kannada
Country: India State: Karnataka
City/District: Dakshina Kannada Pin: 575014
Tel: Mobile no.: 9448940543
Fax: Email: deepikaacharya1704@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Karnataka Board: Karnataka
School: Holy Family Eng Med High School School: Govinda Dasa Pre University College
City: Mangaluru City: Mangaluru
English %: 91 Board Roll No./Seat No.: 220674
Aggregate Percentage: 91 School/College Code: SS020
  Centre code: SC5951
  Address of School/College: Govinda Dasa Pre University College, Surathkal - 575 014 Mangaluru, D.K
  Pin: 575014
  Contact Nos:
  Email: govindadasapucollege@yahoo.com
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 82 82
Chemistry 100 81 81
Mathematics 100 91 91
Physics, Chemistry & Mathematics combined Percentage: 84.67
English 100 87 87
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: First I would prepare for IMU-CET exam, as I have to score good rank in it. Then, I would rather spend time in getting vocational courses in computer science.
Why do you wish to join TMI?: Because TMI is one of the good college in maritime institute.The college also provides good placement with good infrastructures. As it also provides a better atmosphere to grow ourselves.
What are your hobbies?: Drawing, Dancing and Playing football
What are your strengths?: A leader, speaker, faithful, trustworthy, listener and many more
What are your weaknesses?: speak too much
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 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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