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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: S R BHADRAN
Mother's Name: ROOPESNA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jul 2003 Nationality: INDIA
Place of Birth: THALASSERI Personal Identification Mark: a black mole on left side of the nose
Blood Group: A + Address for Communication: NEELIMA,KALLACHI,KODIYOURA KOZHIKODE,673506
State: Kerala Country: India
Pin: 673506 City/District: KOZHIKODE
Mobile no: 9037789446 Telephone No. with STD code:
Aadhar Card No:697675356860 E-mail: bhadransr2068@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SATHYAN NEELIMA Relationship with candidate: FATHER
Parents Date of Birth: 04 Mar 1970 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: NEELIMA,KALLACHI,KODIYOURA KOZHIKODE,673506
Country: India State: Kerala
City/District: KOZHIKODE Pin: 673506
Tel: Mobile no.: 9037789446
Fax: Email: bhadransr2068@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: G H S S VELLIYODE School: G H S S VELLIYODE
City: VANIMAL City: VANIMAL
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: NEELIMA,KALLACHI,KODIYOURA KOZHIKODE,673506
  Pin: 673506
  Contact Nos: 9037789446
  Email: bhadransr2068@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
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
04/2019 ATHELETE 3rd SUB DISTRICT
06/2020 METAL ENGRAVING 3rd DISTRICT
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: CONTINUE PREPARING FOR IMU SET
Why do you wish to join TMI?: PASSION
What are your hobbies?: EXERCISE,PLAYING,PHOTOGRAPHY
What are your strengths?: PATIENCE,TRUSTWORTHINESS
What are your weaknesses?: BEING TOO HELPFUL TO OTHERS
How do you intend to meet the expenses of this program?: Own Resources,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 ________________

 
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