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: DNS2173735 Name: PETER JOY
  Address: J R HOUSE KALAKKODU POOTHAKKULAM P O
Telephone No.: Mobile no: 9526867273
E-mail: peterjoy2002@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 425403655
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173735 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: DNS2173735
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PETER JOY
Mother's Name: RAICHEL JOY
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Dec 2002 Nationality: INDIAN
Place of Birth: KOLLAM Personal Identification Mark: A BLACK MARK ON THE RIGHT CHEEK
Blood Group: B + Address for Communication: J R HOUSE KALAKKODU POOTHAKKULAM P O
State: Kerala Country: India
Pin: 691302 City/District: KOLLAM
Mobile no: 9526867273 Telephone No. with STD code:
Aadhar Card No:525351772341 E-mail: peterjoy2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JOY PETER Relationship with candidate: FATHER
Parents Date of Birth: 22 May 1967 Parent's/Guardian's Occupation/Designation: PRIVATE
   
Office Address:
   
Address: J R HOUSE POOTHAKKULAM KALAKKODU P O
Country: India State: Kerala
City/District: KOLLAM Pin: 691302
Tel: Mobile no.: 7902341223
Fax: Email: peterjoy0428@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: AISWARYA PUBLIC SCHOOL POOTHAKULAM School: AISWARYA PUBLIC SCHOOL POOTHAKULAM
City: KOLLAM City: KOLLAM
English %: 80 Board Roll No./Seat No.: 24606661
Aggregate Percentage: 83 School/College Code: 930557
  Centre code: 75558
  Address of School/College: AISWARYA PUBLIC SCHOOL KALAKKODE POOTHAKULAM
  Pin: 691302
  Contact Nos:
  Email: apskalakkode@yahoo.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 76 76
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 78
English 100 92 92
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing Bsc physics in kerala university preparing NDA and IMU CET
Why do you wish to join TMI?: second line of defence
What are your hobbies?: Learning and reading
What are your strengths?: My family
What are your weaknesses?: Family issues
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 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

 

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Date ________________

 
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