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: DNS2174327 Name: Arjun J
  Address: SANTHI NIKETHAN KADUKKAMKUNNAM MALAMPUZHA
Telephone No.: 09495848953 Mobile no: 9072812189
E-mail: arjunjarj@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427089575
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174327 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: DNS2174327
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Arjun J
Mother's Name: Santhi V
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Jun 2003 Nationality: Indian
Place of Birth: Palakkad Personal Identification Mark: Wound on right leg
Blood Group: B + Address for Communication: SANTHI NIKETHAN KADUKKAMKUNNAM MALAMPUZHA
State: Kerala Country: India
Pin: 678651 City/District: PALAKKAD
Mobile no: 9072812189 Telephone No. with STD code: 09495848953
Aadhar Card No:496267648386 E-mail: arjunjarj@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANTHINI V Relationship with candidate: MOTHER
Parents Date of Birth: 28 Oct 1968 Parent's/Guardian's Occupation/Designation: ACCOUNTANT
   
Office Address:
   
Address: Power Best Electrical Private Limited Salem-Ernakulam Highway Pudussery West
Country: India State: Kerala
City/District: PALAKKAD Pin: 678651
Tel: 9495848953 Mobile no.: 9495848953
Fax: Email: vichuarjun5@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Bharatha Matha Higher Secondary School School: Bharatha Matha Higher Secondary School
City: PALAKKAD City: PALAKKAD
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Centre code:
  Address of School/College: NH 213, Sahyadri Colony, Chandranagar Colony, Palakkad, Kerala
  Pin: 678651
  Contact Nos:
  Email: bmathahss@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
12/2016 ENGLISH ELOCUTION INTER SCHOOL FIRST
08/2017 MATHEMATICS FAIR SCHOOL LEVEL FIRST
10/2017 DCL IQ NATIONAL SCHOLARSHIP NATIONAL A GRADE
08/2015 MALAYALAM TYPING SCHOOL LEVEL FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: STUDYING FOR IMU CET AND WATCHIN TV SERIES
Why do you wish to join TMI?: I HEARD ABOUT TOLANI GOOD ACADMICS AND PLACEMENT OPPORTUNITIES
What are your hobbies?: PLAYING MINCRAFT AND WATCHING SERIES
What are your strengths?: MY HEALTH AND MENTAL FORTITUDE ARE MY GREATEST STRENGTHS. I AM COMMITTED AND HARDWORKING.
What are your weaknesses?: I DO NOT KNOW HOW TO SWIM.
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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