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: DNS2173087 Name: SHIDHU BS
  Address: BHAGAVATHI PARAMBIL HOUSE MUNDAMVELI PO COCHIN 7 BHAGAVATHI PARAMBIL HOUSE MUNDAMVELI
Telephone No.: Mobile no: 9961632705
E-mail: shidhumon@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425076465
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173087 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: DNS2173087
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHIDHU BS
Mother's Name: ANITHA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Mar 2002 Nationality: INDIAN
Place of Birth: KOCHI Personal Identification Mark: A black mole on right hand
Blood Group: B + Address for Communication: BHAGAVATHI PARAMBIL HOUSE MUNDAMVELI PO COCHIN 7 BHAGAVATHI PARAMBIL HOUSE MUNDAMVELI
State: Kerala Country: India
Pin: 682507 City/District: Kochi Ernakulam
Mobile no: 9961632705 Telephone No. with STD code:
Aadhar Card No:755568016112 E-mail: shidhumon@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHAJI BN Relationship with candidate: FATHER
Parents Date of Birth: 12 Feb 1971 Parent's/Guardian's Occupation/Designation: DRIVER
   
Office Address:
   
Address: TRUE CARE HOMENURSING SERVICE THOPPUMPADY TRUE CARE HOMENURSING SERVICE THOPPUMPADY
Country: India State: Kerala
City/District: Kochi Ernakulam Pin: 682507
Tel: Mobile no.: 7012851938
Fax: Email: shidhumon007@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Kerala Board: Kerala
School: LORETTO ANGLO INDIAN HIGH SCHOOL School: EDWARD MEMORIAL GIRLS HIGHERSECONDARY SCHOOL
City: Kochi City: Kochi
English %: 96 Board Roll No./Seat No.: 7145093
Aggregate Percentage: 98 School/College Code: 07020
  Centre code: 07020
  Address of School/College: Edward memorial girls higher secondary school Fortkochi
  Pin: 682507
  Contact Nos:
  Email: shidhumon007@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 147 73.5
Chemistry 200 149 74.5
Mathematics 200 140 70
Physics, Chemistry & Mathematics combined Percentage: 72.67
English 100 70 70
   
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
04/2018 JUNIOR RED CROSS C LEVEL Member
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Working as a delivery boy
Why do you wish to join TMI?: At present is the best best maritime academy in India with maximum training, knowledge and placement percentage.
What are your hobbies?: watching cricket ,playing cricket etc
What are your strengths?: Hardworking ,Disciplined,ledearship and selfmotivated
What are your weaknesses?: biology
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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