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: DNS2173525 Name: AkhilHaridas
  Address: pulickal house matharathu temple line vennala ,cochin 682028 pulickal house matharathu temple line vennala ,cochin 682028
Telephone No.: Mobile no: 8330840847
E-mail: akhilharidas796@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 425485070
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173525 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2173525
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AkhilHaridas
Mother's Name: Sindhu cs
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Jul 2002 Nationality: India
Place of Birth: Kerala Personal Identification Mark: right hand
Blood Group: B + Address for Communication: pulickal house matharathu temple line vennala ,cochin 682028 pulickal house matharathu temple line vennala ,cochin 682028
State: Kerala Country: India
Pin: 682028 City/District: Kochi
Mobile no: 8330840847 Telephone No. with STD code:
Aadhar Card No:664373276059 E-mail: akhilharidas796@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: sindhu cs Relationship with candidate: mother
Parents Date of Birth: 01 Jun 1976 Parent's/Guardian's Occupation/Designation: Government employ
   
Office Address:
   
Address: District animal husbandry office ,ernakulam District animal husbandary office,ernakulam
Country: India State: Kerala
City/District: Ernakulam Pin: 682011
Tel: Mobile no.: 9497730847
Fax: Email: sindhharidas@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Mary Matha Public School School: Mary Matha Public School
City: Ernakulam City: Ernakulam
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Centre code:
  Address of School/College: District animal husbandry office ,ernakulam District animal husbandary office,ernakulam
  Pin: 682028
  Contact Nos: 09497730847
  Email: sindhharidas@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing Football
Why do you wish to join TMI?: My dream
What are your hobbies?: playing ,watching movies ,readying books
What are your strengths?: parents
What are your weaknesses?: concentration
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 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 ________________

 
Print Summary and Application Form