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: DNS2052899 Name: PANASA SAI VAMSI KRISHNA
  Address: H NO 12-47/12Sramasakthi Nagar Near Gantasala Kalamandir Pendurthi Mandal Chinnamusidivad Pendurthy Visakhapatnam Andhra Pradesh 531173 H NO 12-47/12Sramasakthi Nagar Near Gantasala Kalamandir Pendurthi Mandal Chinnamusidivad Pendurthy Visakhapatnam Andhra Pradesh 531173
Telephone No.: Mobile no: 7997423536
E-mail: vamsikrishnapanasa@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 312937635
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052899 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: DNS2052899
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PANASA SAI VAMSI KRISHNA
Mother's Name: JALA DURGA PANASA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jul 2003 Nationality: INDIAN
Place of Birth: PITHAPURAM Personal Identification Mark: A BIG MOLE ON THE RIGHT SIDE OD BELLY
Blood Group: O + Address for Communication: H NO 12-47/12Sramasakthi Nagar Near Gantasala Kalamandir Pendurthi Mandal Chinnamusidivad Pendurthy Visakhapatnam Andhra Pradesh 531173 H NO 12-47/12Sramasakthi Nagar Near Gantasala Kalamandir Pendurthi Mandal Chinnamusidivad Pendurthy Visakhapatnam Andhra Pradesh 531173
State: Andhra Pradesh Country: India
Pin: 531173 City/District: Visakhapatnam
Mobile no: 7997423536 Telephone No. with STD code:
Aadhar Card No:721918863931 E-mail: vamsikrishnapanasa@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SURESH PANASA Relationship with candidate: FATHER
Parents Date of Birth: 20 Apr 1967 Parent's/Guardian's Occupation/Designation: BOSUN
   
Office Address:
   
Address: 3F Leela Business Park Marol Andheri-Kurla Road Andheri East Mumbai Maharashtra 400059 3F Leela Business Park Marol Andheri-Kurla Road Andheri East Mumbai Maharashtra 400059
Country: India State: Andhra Pradesh
City/District: visakhapatnam Pin: 531173
Tel: Mobile no.: 9121836952
Fax: Email: sureshpanasa1@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Andhra Pradesh
School: SRI PRAKASH VIDYANIKETAN School: NARAYANA JR COLLEGE
City: VISAKHAPATNAM City: VISAKHAPATNAM
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 60 School/College Code:
  Centre code:
  Address of School/College: DNo9-19-9 CBM Compound Asilmetta Visakhapatnam Andhra Pradesh 530003
  Pin: 530003
  Contact Nos:
  Email: vamsikrishnapanasa@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150
Chemistry 150
Mathematics 300
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 ?: i am prepared for the imu cet exam and sponsorship test.
Why do you wish to join TMI?: it is the best colleges for dns course.
What are your hobbies?: playing cricket, reading books, listening songs and gaining knowledge about different things.
What are your strengths?: hardworking
What are your weaknesses?: I have trouble saying no.
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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