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: DNS2051666 Name: BLESSIN BERNARD
  Address: ANITHA BHAVAN, KUZHALAR NEAR CSI CHURCH KATTAKADA P.O
Telephone No.: Mobile no: 8589936400
E-mail: blessinbernard@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 309315812
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051666 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: DNS2051666
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BLESSIN BERNARD
Mother's Name: ANITHA C
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jun 2000 Nationality: INDIAN
Place of Birth: TRIVANDRUM Personal Identification Mark: BLACK MOLE ON RIGHT SIDE OF THE NECK
Blood Group: B + Address for Communication: ANITHA BHAVAN, KUZHALAR NEAR CSI CHURCH KATTAKADA P.O
State: Kerala Country: India
Pin: 695572 City/District: TRIVANDRUM
Mobile no: 8589936400 Telephone No. with STD code:
Aadhar Card No:989402186916 E-mail: blessinbernard@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BERNARD POULOOSE Relationship with candidate: FATHER
Parents Date of Birth: 10 Mar 1968 Parent's/Guardian's Occupation/Designation: MERCHANT NAVY
   
Office Address:
   
Address: Anglo-Eastern Ship Management Leela Business Park,Marol Andheri-Kurla Road,Andheri East
Country: India State: Maharashtra
City/District: Andheri East Pin: 400059
Tel: Mobile no.: 7025815637
Fax: Email: bernardpouloose50@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: CBSE
School: VISWADEEPTHI CENTRAL SCHOOL School: CHINMAYA VIDYALAYA KATTAKADA
City: KATTAKADA City: KATTAKADA
English %: 76 Board Roll No./Seat No.: 4801290
Aggregate Percentage: 80 School/College Code: 42550
  Centre code: 9001
  Address of School/College: Chinmaya Vidyalaya kattakada P.O, Trivandrum,Kerala
  Pin: 695572
  Contact Nos: 04712291301
  Email: chinmayaktda@yahoo.co.in
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 63 63
Chemistry 100 63 63
Mathematics 100 57 57
Physics, Chemistry & Mathematics combined Percentage: 61
English 100 83 83
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
06/2013 CERTIFICATE COURSE IN GRAPHIC DESIGNING District A GRADE
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WOULD SPEND IT HAPPILY BECAUSE COLLEGES ARE TOUGH.I BELIEVE THAT THE PRIME FACTOR THAT AFFECTS SOMEONE AFTER SECONDARY EDUCATION IS MATURITY,SO I WOULD RATHER THINK ABOUT MY FUTURE STUDIES,WHICH COLLEGE AND ON WHICH FIELD SHOULD I GET ADMITTED TO.
Why do you wish to join TMI?: MERCHANT NAVY IS A GREAT OPPORTUNITY FOR YOUNGSTERS TO BE IN JOB AND TAKE SERIOUS RESPONSIBILITIES.AS PER DG SHIPPING TMI IS ONE OF THE BEST COLLEGES FOR DIPLOMA IN NAUTICAL SCIENCE,SO I OPT TO JOIN TMI
What are your hobbies?: LISTENING MUSIC,PLAYING GAMES
What are your strengths?: LISTENING OPINIONS ACTIVELY
What are your weaknesses?: LACK OF PATIENCE
How do you intend to meet the expenses of this program?: Own Resources,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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