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: DNS2172420 Name: HAMDAN ABDULSALAM THACHUPARAMBAN
  Address: PEEDIAKKAL HOUSE, MUNDENGARA, EDAVANNA PO ZIRTON TRADING COMPANY ,CHETTIANGADI,MANJERI
Telephone No.: 919745995509 Mobile no: 7034392389
E-mail: hamdanastp2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 424825084
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172420 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: DNS2172420
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HAMDAN ABDULSALAM THACHUPARAMBAN
Mother's Name: SAFEERA ARAKKAL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Jun 2003 Nationality: INDIAN
Place of Birth: KERALA Personal Identification Mark: WHITE MARK ON UPPER ABDOMEN
Blood Group: B + Address for Communication: PEEDIAKKAL HOUSE, MUNDENGARA, EDAVANNA PO ZIRTON TRADING COMPANY ,CHETTIANGADI,MANJERI
State: Kerala Country: India
Pin: 676541 City/District: MALAPPURAM
Mobile no: 7034392389 Telephone No. with STD code: 919745995509
Aadhar Card No:527405692798 E-mail: hamdanastp2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ABDUL SALAM THACHUPARAMBAN Relationship with candidate: FATHER
Parents Date of Birth: 30 Mar 1969 Parent's/Guardian's Occupation/Designation: BUSINESSMAN
   
Office Address:
   
Address: PEEDIAKKAL HOUSE, MUNDENGARA, EDAVANNA PO ZIRTON TRADING COMPANY ,CHETTIANGADI,MANJERI
Country: India State: Kerala
City/District: MALAPPURAM Pin: 676541
Tel: 09745995509 Mobile no.: 9745995509
Fax: Email: atparamb@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: JAWAHAR NAVODAYA VIDYALAYA MALAPPURAM School: NOBLE PUBLIC SCHOOL
City: MALAPPURAM City: MALAPPURAM
English %: 97 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: NOBLE PUBLIC SCHOOL,VETTAKODE PO , PULLANCHER, MANJERI , MALAPPURAM DISTRICT, KERALA STATE
  Pin: 676121
  Contact Nos:
  Email: vasudevannairt@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
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
07/2016 Badminton Meet National Level competition Participant
10/2016 Badminton Meet Regional Level competition First prize
03/2019 Badminton Meet District Level competition 3rd postion
09/2019 Badminton Meet State Level competition Participant
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for Joint Entrance examination, other national and state level examinations.
Why do you wish to join TMI?: I understand that TMI is one among those good Maritime institutes available in India, I believe it has all facilities required for a Maritime institution.
What are your hobbies?: Playing badminton, listening music, travelling.
What are your strengths?: Patient enough to go through difficult life situations. Able to cope up with team and friends.
What are your weaknesses?: I need to improve my reading habit. Not interested in politics.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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

 

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Date ________________

 
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