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: DNS2051846 Name: CHAKOCHAN VELADY
  Address: CHAKOCHAN VELADY, VELANMARUKUDIYIL, BHARANANGANAM PALA
Telephone No.: Mobile no: 9740155477
E-mail: SANDHYASANJAYJAMES@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: 309701673
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051846 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: DNS2051846
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: CHAKOCHAN VELADY
Mother's Name: BEENA ANTONY
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Nov 2001 Nationality: INDIAN
Place of Birth: MUTHLAKODAM Personal Identification Mark: A BLACK MOLE ON RIGHT ARM
Blood Group: A + Address for Communication: CHAKOCHAN VELADY, VELANMARUKUDIYIL, BHARANANGANAM PALA
State: Kerala Country: India
Pin: 686578 City/District: KOTTAYAM
Mobile no: 9740155477 Telephone No. with STD code:
Aadhar Card No: E-mail: SANDHYASANJAYJAMES@GMAIL.COM
 
Guardian's Particulars:
 
Name of Parent/Guardian: ANTONY VELADY Relationship with candidate: FATHER
Parents Date of Birth: 13 Jan 1966 Parent's/Guardian's Occupation/Designation: AGRICULTURE
   
Office Address:
   
Address: ANTONY VELADY VELANMARUKUDIYIL, BHARANANGANAM PALA
Country: India State: Kerala
City/District: KOTTAYAM Pin: 686578
Tel: Mobile no.: 9745081207
Fax: Email: VELADY360@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Kerala Board: Kerala
School: KTJM HS EDAMATTOM School: ST MARYS HSS BHARANANGANAM
City: PALA City: PALA
English %: 100 Board Roll No./Seat No.: 7114278
Aggregate Percentage: 100 School/College Code: 05043
  Centre code: 05043
  Address of School/College: ST MARYS HSS BHARANANGANAM BHARANANGANAM KOTTAYAM DIST KERALA
  Pin: 686578
  Contact Nos:
  Email: VELADY360@GMAIL.COM
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 142 71
Chemistry 200 149 74.5
Mathematics 200 118 59
Physics, Chemistry & Mathematics combined Percentage: 68.17
English 100 76 76
   
IMU CET Application Number: CET20U99611  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2018 CRICKET DISTRICT SECOND
08/2018 KABADI DISTRICT NONE
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: READING BOOKS, SURFING NET, ACTIVE PARTICIPATION IN SPORTS, SWIMMING AND PREPRATION FOR CET EXAM.
Why do you wish to join TMI?: BECAUSE IT IS ONE OF THE FAMOUS COLLEGE IN INDIA
What are your hobbies?: CRICKET, READING , TRAVELLING, SWIMMMING
What are your strengths?: I believe that my greatest strength in life is my determination to strive hard in order to fulfill my dreams and my family.
What are your weaknesses?: My greatest weakness is that I am afraid to fail. But as I fail, I learn from my mistakes. Friends and cricket are also my weakness
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 not uploaded
 
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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