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: DNS2173573 Name: AJITH S
  Address: AJITH NIVAS,KAKKATHODE, PARA,ELAPULLY, PALAKKAD,KERALA
Telephone No.: 04912584216 Mobile no: 7736435005
E-mail: 7777ajithaju@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 432145295
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173573 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: DNS2173573
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AJITH S
Mother's Name: M SHYMALA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Oct 2002 Nationality: INDIAN
Place of Birth: INDIA Personal Identification Mark: BLACK MOLE ON LEFT ARM
Blood Group: O + Address for Communication: AJITH NIVAS,KAKKATHODE, PARA,ELAPULLY, PALAKKAD,KERALA
State: Kerala Country: India
Pin: 678622 City/District: PALAKKAD
Mobile no: 7736435005 Telephone No. with STD code: 04912584216
Aadhar Card No:713393780397 E-mail: 7777ajithaju@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: V SIVAKUMAR Relationship with candidate: FATHER
Parents Date of Birth: 04 May 1968 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: AJITH NIVAS,KAKKATHODE, PARA,ELAPULLY, PALAKKAD,KERALA
Country: India State: Kerala
City/District: PALAKKAD Pin: 678622
Tel: 04912584216 Mobile no.: 9946411882
Fax: Email: ajithaju7777@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: NILGIRI PUBLIC SCHOOL School: SREE NARAYANA PUBLIC SCHOOL
City: PALAKKAD City: PALAKKAD
English %: 81 Board Roll No./Seat No.: 24630796
Aggregate Percentage: 66 School/College Code: 75217
  Centre code: 7663
  Address of School/College: MECHIRI PADAM,ELAPULLY,PALAKKAD,KERALA
  Pin: 678622
  Contact Nos: 04912583314
  Email: sreenarayanaadmissions@gmail.com
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 77 77
Chemistry 100 69 69
Mathematics 100 53 53
Physics, Chemistry & Mathematics combined Percentage: 66.33
English 100 89 89
   
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
10/2019 long jump district level first position
05/2021 kho kho district level second position
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: joined kerala blaster football camp at palakkad and took practice
Why do you wish to join TMI?: TMI is a number one marine college in india and college staffs are friendly to every student
What are your hobbies?: pencil drawing,playing football,reading books
What are your strengths?: self confedence and hardwork
What are your weaknesses?: trust
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 Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form