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: DNS2172699 Name: RAHUL P V
  Address: PUTHIYA VEETTIL HOUSE EDAKKEPPURAM SOUTH PO CHERUKUNNU
Telephone No.: Mobile no: 8113886970
E-mail: Rahulpv720@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425345326
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172699 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: DNS2172699
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RAHUL P V
Mother's Name: SATHI P V
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Aug 2001 Nationality: INDIAN
Place of Birth: CHIRAKKAL Personal Identification Mark: A BLACK MOLE ON THE RIGHT CHEEK
Blood Group: O - Address for Communication: PUTHIYA VEETTIL HOUSE EDAKKEPPURAM SOUTH PO CHERUKUNNU
State: Kerala Country: India
Pin: 670301 City/District: KANNUR
Mobile no: 8113886970 Telephone No. with STD code:
Aadhar Card No:925860030829 E-mail: Rahulpv720@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHANAN K V Relationship with candidate: FATHER
Parents Date of Birth: 29 Aug 1965 Parent's/Guardian's Occupation/Designation: MECHANIC
   
Office Address:
   
Address: PUTHIYA VEETTIL HOUSE EDAKKEPPURAM SOUTH PO CHERUKUNNU
Country: India State: Kerala
City/District: KANNUR Pin: 670301
Tel: Mobile no.: 8113886970
Fax: Email: rahulpv720@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Kerala Board: Kerala
School: BAKITHA ENGLISH MEDIUM SCHOOL School: GWHSS CHERUKUNNU
City: KANNUR City: KANNUR
English %: 85 Board Roll No./Seat No.: 6416603
Aggregate Percentage: 75 School/College Code: 13106
  Centre code: 13106
  Address of School/College: MUNDAPPURAM, PO CHERUKUNNU, KANNUR
  Pin: 670301
  Contact Nos:
  Email: gwhss13106@gmail.com
  Aggregate Percentage: 74
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 137 68.5
Chemistry 200 155 77.5
Mathematics 200 132 66
Physics, Chemistry & Mathematics combined Percentage: 70.67
English 100 72 72
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I SPENDING TIME PLAYING FOOTBALL AND PHYSICAL FITNESS
Why do you wish to join TMI?: ONE OF THE BEST MARITIME INSTITUTE
What are your hobbies?: PLAYING AND WATCHING FOOTBALL
What are your strengths?: SELF CONFIDENCE
What are your weaknesses?: I FEEL UNCOMFORTABLE WHEN I NOT FINISH MY WORK AT GIVEN TIME
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
 
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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