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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2170797 Name: MIDHUN R MADHU
  Address: MADHURIMA KUDAVOOR, KUDAVOOR P.O.
Telephone No.: Mobile no: 8078212514
E-mail: midhuntvm01@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: 431720839
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170797 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 - 2021

 
  Dossier ID: DNS2170797
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MIDHUN R MADHU
Mother's Name: REMADEVI K
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jul 2001 Nationality: INDIAN
Place of Birth: Trivandrum Personal Identification Mark: A black mole on the left ear
Blood Group: B + Address for Communication: MADHURIMA KUDAVOOR, KUDAVOOR P.O.
State: Kerala Country: India
Pin: 695313 City/District: THIRUVANANTHAPURAM
Mobile no: 8078212514 Telephone No. with STD code:
Aadhar Card No:723492433957 E-mail: midhuntvm01@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MADHUSOODANAN ASARI A Relationship with candidate: Father
Parents Date of Birth: 31 May 1966 Parent's/Guardian's Occupation/Designation: INSURANCE CONSULTANT
   
Office Address:
   
Address: STAR HEALTH AND ALLIED INSURANCE COMPANY LIMITED PATTOM, THIRUVANANTHAPURAM
Country: India State: Kerala
City/District: THIRUVANANTHAPURAM Pin: 695004
Tel: 08078212514 Mobile no.: 8078212514
Fax: Email: midhuntvm01@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Kerala Board: Kerala
School: SR.ELIZABETH JOEL CSIEMHSS ATTINGAL School: GOVT HIGHER SECONDARY SCHOOL THONNAKKAL
City: THIRUVANANTHAPURAM City: THIRUVANANTHAPURAM
English %: 95 Board Roll No./Seat No.: 6010000
Aggregate Percentage: 95 School/College Code: 01034
  Centre code: 01034
  Address of School/College: GOVT HIGHER SECONDARY SCHOOL THONNAKKAL
  Pin: 695313
  Contact Nos: 8078212514
  Email: midhuntvm01@gmail.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 155 77.5
Chemistry 200 167 83.5
Mathematics 200 146 73
Physics, Chemistry & Mathematics combined Percentage: 78
English 100 85 85
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have examined all about the merchant navy and revised the PCM and due to some financial crisis and technical issues,i have lost my admission.
Why do you wish to join TMI?: Sir I want to join TMI as it is obviously the best institute in India or even Asia for Bsc Nautical Science and also because I find myself a suitable candidate for this field as I am not much social and having lived away from my home since many years, Ihave developed the quality of adaptation which is a key requirement for this field.
What are your hobbies?: plays cricket, football, listening musics, solving Sudoku , swimming
What are your strengths?: hardworking, Analytical skills,Leadership skills,Ability to work in a team, dedication,punctuality,
What are your weaknesses?: No such weaknesses
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 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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