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: DNS2170852 Name: Awad Ali
  Address: Kotteparambil, Pezhakkappilly PO , Muvattupuzha, 686673, Ernakulam Awad Ali Kotteparambil , pezhakkappilly PO, muvattupuzha
Telephone No.: Mobile no: 9567530485
E-mail: awadali8547@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: 426194419
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170852 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2170852
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Awad Ali
Mother's Name: Suni mol K S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jul 2003 Nationality: India
Place of Birth: Muvattupuzh Personal Identification Mark: A mole on the wrist
Blood Group: A + Address for Communication: Kotteparambil, Pezhakkappilly PO , Muvattupuzha, 686673, Ernakulam Awad Ali Kotteparambil , pezhakkappilly PO, muvattupuzha
State: Kerala Country: India
Pin: 686673 City/District: Ernakulam
Mobile no: 9567530485 Telephone No. with STD code:
Aadhar Card No:641397691106 E-mail: awadali8547@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Alikunju K P Relationship with candidate: Father
Parents Date of Birth: 24 Apr 1961 Parent's/Guardian's Occupation/Designation: Driver
   
Office Address:
   
Address: Kotteparambil, Pezhakkappilly PO , Muvattupuzha, 686673, Ernakulam Awad Ali Kotteparambil , pezhakkappilly PO, muvattupuzha
Country: India State: Kerala
City/District: Ernakulam Pin: 686673
Tel: Mobile no.: 9567530485
Fax: Email: awadali8547@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: SNDP HSS MUVATTUPUZHA School: SNDP HSS MUVATTUPUZHA
City: Muvattupuzha City: Muvattupuzha Circle
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Centre code:
  Address of School/College: KOTTEPARAMBIL HOUSE Pezhakkappilly PO muvattupuzha, ernakulam
  Pin: 686673
  Contact Nos: 9567530485
  Email: awadali8547@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
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
02/2017 the bharat scouts and guides rajya praskar scout
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i was thinking of undergoing some vocational and training courses that would help to build my carrier
Why do you wish to join TMI?: to become a Merchant navy officer
What are your hobbies?: reading, playing football
What are your strengths?: quick learner, stability and punctuality
What are your weaknesses?: taking too many risks and being too honest
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 Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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