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: DNS2170918 Name: Chandrakanth K
  Address: Hosur Kutagal main road Kutagal post
Telephone No.: Mobile no: 7204278178
E-mail: chandrucharirc8@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 422687433
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170918 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: DNS2170918
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Chandrakanth K
Mother's Name: Doddamma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Jun 2002 Nationality: Indian
Place of Birth: Ramanagara Personal Identification Mark: Two mole on right arm
Blood Group: B + Address for Communication: Hosur Kutagal main road Kutagal post
State: Karnataka Country: India
Pin: 562159 City/District: Ramanagara
Mobile no: 7204278178 Telephone No. with STD code:
Aadhar Card No:661793819750 E-mail: chandrucharirc8@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kantharaju Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1980 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Hosur Kutagal main road Kutagal post
Country: India State: Karnataka
City/District: Ramanagara Pin: 562159
Tel: Mobile no.: 9902640720
Fax: Email: suchithas36@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Jawahar Navodaya Vidyalaya Bengaluru Rural School: Jawahar Navodaya Vidyalaya Bengaluru Rural
City: Doddaballapur City: Doddaballapur
English %: 86 Board Roll No./Seat No.: 18603461
Aggregate Percentage: 87 School/College Code: 49025
  Centre code: 4517
  Address of School/College: Opposite Columbia Asia Hospital, State Highway 9, Bashettihalli, Doddaballapura, Karnataka
  Pin: 561203
  Contact Nos:
  Email: jnvbangalorerural@gmail.com
  Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 89 89
Chemistry 100 92 92
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 86.67
English 100 79 79
   
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
11/2018 Volleyball Regional level organized by NVS Runner up
11/2018 Hockey Regional level organized by NVS Winner
08/2019 Singing competition Inter house competition Winner
12/2019 Dance competition Inter house competition Winner
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Carrier counseling, Freelancing and Film making
Why do you wish to join TMI?: To enrich my knowledge in Maritime carrier .
What are your hobbies?: Reading, Browsing and Filmmaking
What are your strengths?: Decision making and leadership skills
What are your weaknesses?: Feeling uncomfortable when i did not do things in given time.
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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