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: DNS2173465 Name: Shelton R
  Address: 8/121 kovil street, Saveriyarpuram, sanganankulam Vijayanarayanam, tirunelveli, TN
Telephone No.: Mobile no: 9751028208
E-mail: sheltonanto28rs@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430321799
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173465 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: DNS2173465
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shelton R
Mother's Name: Chandra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Feb 2001 Nationality: Indian
Place of Birth: Tirunelveli Personal Identification Mark: Mole on left hand
Blood Group: B + Address for Communication: 8/121 kovil street, Saveriyarpuram, sanganankulam Vijayanarayanam, tirunelveli, TN
State: Tamil Nadu Country: India
Pin: 627118 City/District: Tirunelveli
Mobile no: 9751028208 Telephone No. with STD code:
Aadhar Card No:605356340491 E-mail: sheltonanto28rs@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Robert jeyaseelan Relationship with candidate: Father
Parents Date of Birth: 12 Apr 1975 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 8/121 kovil street , Saveriyarpuram ,sanganangulam Vijayanarayanam, tirunelveli , Tamillnadu
Country: India State: Tamil Nadu
City/District: Tirunelveli Pin: 627118
Tel: Mobile no.: 9787710169
Fax: Email: sheltonanto28rs@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Tamil Nadu Board: Tamil Nadu
School: Jeyarrajesh Matric Hr Secondary School School: Jayarrajesh Matric Hr Sec School
City: Tirunelveli City: tirunelveli
English %: 86 Board Roll No./Seat No.: 5151
Aggregate Percentage: 83 School/College Code: 46886
  Centre code: 1255
  Address of School/College: tisaiyanvilai
  Pin: 627657
  Contact Nos:
  Email: jararrajesh@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 82 82
Chemistry 100 72 72
Mathematics 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 77
English 100 86 86
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I have joined online crash for JEE.
Why do you wish to join TMI?: TMI is such a good college in maritime studies. The sponsoring companies are good.
What are your hobbies?: cricket
What are your strengths?: honesty, continuous learning
What are your weaknesses?: self criticism
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 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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