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: DNS2174068
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kt Mohammed Shahal
Mother's Name: Ek sheeba
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 May 2003 Nationality: Indian
Place of Birth: Trissur Personal Identification Mark: Black dot near to nose
Blood Group: O + Address for Communication: KURUPAMTHODI HOUSE NEAR CIVIL STATION PATTAMBI NEAR CIVIL STATION PATTAMBI Palakkad dist , kerala
State: Kerala Country: India
Pin: 679303 City/District: PALAKKAD
Mobile no: 9074312722 Telephone No. with STD code: 9074312722
Aadhar Card No:254136725379 E-mail: shahalkt2626@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sheeba ek Relationship with candidate: Mother
Parents Date of Birth: 09 Jul 1975 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: KURUPAMTHODI HOUSE NEAR CIVIL STATION PATTAMBI NEAR CIVIL STATION PATTAMBI Palakkad dist , kerala
Country: India State: Kerala
City/District: Pattambi Pin: 679303
Tel: 9074312722 Mobile no.: 9074312722
Fax: Email: shahalkt2626@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Mes international school pattambi School: Mes international school pattambi
City: Pattambi City: Pattambi
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 67 School/College Code:
  Centre code:
  Address of School/College: Pattambi
  Pin: 679303
  Contact Nos: 09074312722
  Email: shahalkt2626@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 ?: Helping father in his business
Why do you wish to join TMI?: It is one of the best collage for maritime studies in india
What are your hobbies?: Playing football,badminton and virtual games
What are your strengths?: My family and friends
What are your weaknesses?: Not good at talking
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

 

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Date ________________