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: DNS2172165 Name: DARSHAN D AIL
  Address: MATHRU DARSHANA near railway station, Uppala.Kasaragod MATHRU DARSHANA near railway station,Uppala ,Kasaragod
Telephone No.: O4998 Mobile no: 7306174089
E-mail: darshanaildachu@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: 432085013
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172165 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: DNS2172165
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: DARSHAN D AIL
Mother's Name: Vanitha K
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Oct 2002 Nationality: Indian
Place of Birth: Kasaragod Personal Identification Mark: Black mole on the right hand little finger
Blood Group: O + Address for Communication: MATHRU DARSHANA near railway station, Uppala.Kasaragod MATHRU DARSHANA near railway station,Uppala ,Kasaragod
State: Kerala Country: India
Pin: 671322 City/District: Kasargod
Mobile no: 7306174089 Telephone No. with STD code: O4998
Aadhar Card No:953199298286 E-mail: darshanaildachu@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Damodara K Ail Relationship with candidate: Father
Parents Date of Birth: 22 Oct 1962 Parent's/Guardian's Occupation/Designation: Self employed
   
Office Address:
   
Address: Mathru darshana. near railway station, Uppala Mathru darshana. near railway station, Uppala
Country: India State: Kerala
City/District: Kasaragod Pin: 671322
Tel: 04998 Mobile no.: 8289863687
Fax: Email: damodarkail7@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Karnataka Board: Karnataka
School: Canara high school main manglore School: ST ALOYSIUS PU COLLEGE
City: Mangaluru City: Mangalore
English %: 89 Board Roll No./Seat No.: 430822
Aggregate Percentage: 83 School/College Code: SS002
  Centre code: 025GG
  Address of School/College: ST ALOYSIUS PU COLLEGE, KODIALBAIL MANGALORE, DK DIST
  Pin: 575003
  Contact Nos:
  Email: staloysiuspuc@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 84 84
Chemistry 100 75 75
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 78.33
English 100 75 75
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Swimming and a playing cricket
Why do you wish to join TMI?: Career
What are your hobbies?: Swimming
What are your strengths?: Confidence, hardworking
What are your weaknesses?: lazy in reading
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 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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