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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)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2052121 |
Name: Surampudi Venkata Surya Tejas |
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Address: 29, Aananda, Fairfield Colony Neknampur, 500089 |
| Telephone No.: |
Mobile no: 9440389231 |
| E-mail: bapiks@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 310215694 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052121 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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| Date ________________ |
Date ________________ |
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| 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. |
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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
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| Applicant's Personal Information: |
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| Full Name as on Class XII Marksheet/Pass Certificate: Surampudi Venkata Surya Tejas |
| Mother's Name: Kiranmayi S Bapi |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 30 Dec 2000 |
Nationality: Indian |
| Place of Birth: Hyderabad |
Personal Identification Mark: Scar on left fore head |
| Blood Group: O + |
Address for Communication: 29, Aananda, Fairfield Colony Neknampur, 500089 |
| State: Andhra Pradesh |
Country: India |
| Pin: 500089 |
City/District: hyderabad |
| Mobile no: 9440389231 |
Telephone No. with STD code: |
| Aadhar Card No: |
E-mail: bapiks@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Kiranmayi S Bapi |
Relationship with candidate: Mother |
| Parents Date of Birth: 07 Aug 1969 |
Parent's/Guardian's Occupation/Designation: Psychologist |
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| Office Address: |
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| Address: 29, Aananda, Fairfield Colony Neknampur, 500089 |
| Country: India |
State: Andhra Pradesh |
| City/District: hyderabad |
Pin: 500089 |
| Tel: |
Mobile no.: 7674822877 |
| Fax: |
Email: bapiks@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2017 |
Year of Passing: 2020 |
| Board: CBSE |
Board: CBSE |
| School: Abhaya Waldorf School |
School: Obul Reddy Public School |
| City: hyderabad |
City: Hyderabad |
| English %: 86 |
Board Roll No./Seat No.: |
| Aggregate Percentage: 76 |
School/College Code: |
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Centre code: |
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Address of School/College: Venkatagiri, jubilee hills, hyderabad, telangana. |
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Pin: 500033 |
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Contact Nos: |
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Email: venkatasuryatejas@gmail.com |
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Aggregate Percentage: |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
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| Chemistry |
100 |
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| Mathematics |
100 |
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| Physics, Chemistry & Mathematics combined Percentage: |
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| English |
100 |
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| IMU CET Application Number: |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: I am acquiring knowledge about merchant navy and its activities, through websites and youtube videos.
I am also preparing for various entrance tests for engineering. |
| Why do you wish to join TMI?: I wish to join TMI because it is one of the best colleges for DNS cours. |
| What are your hobbies?: Cycling, Dancing, Cooking. |
| What are your strengths?: Sociable, confident, i can work in teams and groups. |
| What are your weaknesses?: At times i am ambitious in planning. |
| How do you intend to meet the expenses of this program?: Own Resources |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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| 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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