 |
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: DNS2051515 |
Name: AMARNATH N |
| |
Address: 14-2/2 AYYAPPASAMY KOVIL ST,MOORTHINAYAKKAN PATTI,ODAIPATTI UTHAMAPALAYAM TALUK,THANI DISTRICT,TAMILNADU 14-2/2 AYYAPPASAMY KOVIL STREET,MOORTHINAYAKKAN PATTI,ODAIPATTI,UTHAMAPALAYAM TALUK,THENI DISTRICT,TAMILNADU |
| Telephone No.: |
Mobile no: 6374927304 |
| E-mail: amarnathn2003@gmail.com |
|
| |
|
| Application fee payment details: |
|
| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 308982815 |
| |
|
| |
|
| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051515 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
|
|
| |
|
| |
| Applicant's Personal Information: |
| |
| Full Name as on Class XII Marksheet/Pass Certificate: AMARNATH N |
| Mother's Name: SUMATHI N |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 22 Jan 2003 |
Nationality: INDIAN |
| Place of Birth: THENI |
Personal Identification Mark: SCARE ON LEFT FACE |
| Blood Group: A + |
Address for Communication: 14-2/2 AYYAPPASAMY KOVIL ST,MOORTHINAYAKKAN PATTI,ODAIPATTI UTHAMAPALAYAM TALUK,THANI DISTRICT,TAMILNADU 14-2/2 AYYAPPASAMY KOVIL STREET,MOORTHINAYAKKAN PATTI,ODAIPATTI,UTHAMAPALAYAM TALUK,THENI DISTRICT,TAMILNADU |
| State: Tamil Nadu |
Country: India |
| Pin: 625540 |
City/District: THENI |
| Mobile no: 6374927304 |
Telephone No. with STD code: |
| Aadhar Card No:843811553701 |
E-mail: amarnathn2003@gmail.com |
|
| |
| Guardian's Particulars: |
| |
| Name of Parent/Guardian: NAGARAJU N |
Relationship with candidate: FATHER |
| Parents Date of Birth: 07 May 1973 |
Parent's/Guardian's Occupation/Designation: AGRICULTURE |
| |
|
| Office Address: |
| |
|
| Address: 14-2/2 Ayyappasamy kovil street,moorthinayakkan patti,odaipatti,uthamapalayam taluk,theni district 14-2/2 Ayyappasamy kovil street,moorthinayakkanpatti,odaipatti,uthamapalayam taluk,theni districty |
| Country: India |
State: Tamil Nadu |
| City/District: THENI |
Pin: 625540 |
| Tel: |
Mobile no.: 9788942669 |
| Fax: |
Email: amarnathn@gmail.com |
| |
|
Education and Academic Record :
|
| Class X: - |
Class XII: - |
| Year of Passing: 2018 |
Year of Passing: 2020 |
| Board: Tamil Nadu |
Board: Tamil Nadu |
| School: GOODSAM MATRIC HR SEC SCHOOL |
School: GOODSAM MATRIC HR SEC SCHOOL |
| City: SUKKANGAL PATTI |
City: SUKKANGAL PATTI |
| English %: 94 |
Board Roll No./Seat No.: |
| Aggregate Percentage: 93 |
School/College Code: |
| |
Centre code: |
| |
Address of School/College: SUKKANGAL PATTI ODAIPATTI THENI |
| |
Pin: 625540 |
| |
Contact Nos: |
| |
Email: goodsam@gmail.com |
| |
Aggregate Percentage: |
| |
|
| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
|
MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
|
|
| Chemistry |
100 |
|
|
| Mathematics |
100 |
|
|
| 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 ?: PREPARING FOR ENTRANCE ONLINE TEST AND INTERVIEW |
| Why do you wish to join TMI?: TMI GIVING STRUCTURAL AND PRACTICAL TRAINING PROGRAME |
| What are your hobbies?: PLAYING CRICKET,KABBADI |
| What are your strengths?: BLEVING MY SELF |
| What are your weaknesses?: PLAYING CRICKET FOR LONG TIME |
| 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 not uploaded
|
| |
| Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
| |
___________________ |
Date ________________ |
| |