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: DNS2173531 Name: Lisha Lourdusamy Chetty
  Address: Room No.4, Sai Krupa Niwas, Bhandarwada, Rajanpada, Near K.G. Mittal College Malad West
Telephone No.: 022 Mobile no: 9324770375
E-mail: lishachetty284@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 425281819
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173531 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: DNS2173531
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Lisha Lourdusamy Chetty
Mother's Name: Leena Chetty
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Jan 2004 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Mark on Nose
Blood Group: B + Address for Communication: Room No.4, Sai Krupa Niwas, Bhandarwada, Rajanpada, Near K.G. Mittal College Malad West
State: Maharashtra Country: India
Pin: 400064 City/District: Mumbai
Mobile no: 9324770375 Telephone No. with STD code: 022
Aadhar Card No:782689063491 E-mail: lishachetty284@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Leena Lourdusamy Chetty Relationship with candidate: Mother
Parents Date of Birth: 10 Sep 1983 Parent's/Guardian's Occupation/Designation: Government Servant
   
Office Address:
   
Address: MGCMG Office, Siddharth Nagar, Road No. 9 Goregaon West
Country: India State: Maharashtra
City/District: Mumbai Pin: 400095
Tel: Mobile no.: 9137582622
Fax: Email: leena.shetty10@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: St. Annes High School School: St. Annes Junior College
City: Mumbai City: Mumbai
English %: 62 Board Roll No./Seat No.: M063239
Aggregate Percentage: 75 School/College Code: 3204007
  Centre code: 3726
  Address of School/College: St. Annes Junior College Orlem, Malad West, Mumbai 40006
  Pin: 400064
  Contact Nos:
  Email: info@sahsjc.org
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 71 71
Chemistry 100 66 66
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 72
English 100 81 81
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would be learning more of Graphic designing, watching youtube videos on Merchant Navy job profile
Why do you wish to join TMI?: TMI is one the best Educational Institutes for DNS in India and i would like learn from the best.
What are your hobbies?: Reading, Painting
What are your strengths?: Patience, Discipline, Creativity
What are your weaknesses?: Sensitive to People
How do you intend to meet the expenses of this program?: Own Resources,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 Class XII marksheet not uploaded
 
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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