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: DNS2172015
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KARUN H
Mother's Name: SINDHU KUMARI S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Jan 2001 Nationality: INDIA
Place of Birth: KATTAKADA Personal Identification Mark: A BLACK MOLE ON NECK
Blood Group: O + Address for Communication: Harisree Melekangiramkaud Kattakada P. O Trivandrum Harisree Melekangiramkaud Kattakada P. O Trivandrum Harisree Melekangiramkaud Kattakada P. O Trivandrum
State: Kerala Country: India
Pin: 695572 City/District: Thiruvananthapuram
Mobile no: 6238409435 Telephone No. with STD code:
Aadhar Card No:415871986745 E-mail: hkarun34@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Hareendra Kumar K Relationship with candidate: Father
Parents Date of Birth: 01 Jul 1961 Parent's/Guardian's Occupation/Designation: RTD KERALA GOVERNMENT EMPLOYEES
   
Office Address:
   
Address: Civil Station Neyyentinkara Trivandrum Kerala Civil Station Neyyentinkara Trivandrum Kerala Civil Station Neyyentinkara Trivandrum Kerala
Country: India State: Kerala
City/District: Thiruvananthapuram Pin: 695572
Tel: Mobile no.: 9497691893
Fax: Email: kumarhareendra502@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Kerala
School: Chinmaya Vidyalaya Kattakada Trivandrum School: JPHSS OTTESEKHARAMANGALAM TRIVANDRUM
City: Trivandrum City: Thiruvananthapuram
English %: 90 Board Roll No./Seat No.: 6024621
Aggregate Percentage: 09 School/College Code: 01083
  Centre code: 01083
  Address of School/College: OTTESEKHARAMANGALAM TRIVANDRUM
  Pin: 695572
  Contact Nos: 6238409435
  Email: hkarun34@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 117 58.5
Chemistry 200 150 75
Mathematics 200 96 48
Physics, Chemistry & Mathematics combined Percentage: 60.5
English 100 63 63
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study so many books, Read encyclopedia, playing...
Why do you wish to join TMI?: Yes
What are your hobbies?: Playing cricket, football, volleyball, Reading, Driving, swimming
What are your strengths?: My strength are my parents and friends
What are your weaknesses?: No weakness
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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

 

___________________

Date ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.