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: DNS2173955
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHANID PP
Mother's Name: SAKEENA PP
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Jan 2003 Nationality: India
Place of Birth: Kerala Personal Identification Mark: A black mole on neck
Blood Group: O + Address for Communication: Np house, Thaikkadappuram, Nileshwar Kasaragod 671314, Kerala
State: Kerala Country: India
Pin: 671314 City/District: Kasaragod
Mobile no: 9188213247 Telephone No. with STD code:
Aadhar Card No:682090330133 E-mail: shanidpp77@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RASHID NP Relationship with candidate: Father
Parents Date of Birth: 19 Apr 1977 Parent's/Guardian's Occupation/Designation: Electrician
   
Office Address:
   
Address: Thaikkadappuram Kasaragod
Country: India State: Kerala
City/District: Kasaragod Pin: 671314
Tel: Mobile no.: 9188213247
Fax: Email: shanidpp77@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: RAJAS HIGHER SECONDARY SCHOOL NILESHWAR School: GOVERNMENT HIGHER SECONDARY SCHOOL CHAYOTH
City: Kasaragod City: Kasaragod
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: Chayoth, Nileshwar, Kasaragod, Kerala
  Pin: 671314
  Contact Nos:
  Email: chayothhss@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
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
06/2019 Cricket Sub district level and district level Cocaptain in sub district level
06/2019 Football School level Junior player
04/2020 Cricket School level and sub district level Captain in school level and player in district
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study for entrance exams, doing workout to keep fitness
Why do you wish to join TMI?: To get best quality of education in the merchant navy field.
What are your hobbies?: Drawing,watching movies, making craft works, cycling
What are your strengths?: My Ability to deal with people and confidence, quick decisions making, and my best strength is to understand my faults and changing it
What are your weaknesses?: Some times I blame on myself for an small faults I had done in past
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.