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: DNS2174348 Name: R Sridhar
  Address: Block No 21/D, L -Pocket, Maroda Sector, Bhilai Durg Block No 21/D, L -Pocket, Maroda Sector, Bhilai Durg
Telephone No.: Mobile no: 8085963341
E-mail: ramakrishnansridhar3@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426269896
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174348 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: DNS2174348
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: R Sridhar
Mother's Name: Sandhya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Nov 2003 Nationality: Indian
Place of Birth: Indore Personal Identification Mark: Black mole on face
Blood Group: O + Address for Communication: Block No 21/D, L -Pocket, Maroda Sector, Bhilai Durg Block No 21/D, L -Pocket, Maroda Sector, Bhilai Durg
State: Chattisgarh Country: India
Pin: 490006 City/District: Durg
Mobile no: 8085963341 Telephone No. with STD code:
Aadhar Card No:863695333756 E-mail: ramakrishnansridhar3@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: B Ramakrishnan Relationship with candidate: Father
Parents Date of Birth: 08 Apr 1996 Parent's/Guardian's Occupation/Designation: BSP EMPLOYEE/ SR.SA
   
Office Address:
   
Address: Pers-GE , Bhilai Steel Plant , Bhilai Pers-GE , Bhilai Steel Plant , Bhilai
Country: India State: Chattisgarh
City/District: Durg Pin: 490006
Tel: Mobile no.: 9893551276
Fax: Email: bramakrishnan71@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: BSP SSS SECTOR 10 School: BSP SSS SECTOR 10
City: Bhilai City: Bhilai
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Centre code:
  Address of School/College: BSP SENIOR SECONDARY SCHOOL SECTOR 10, BHILAI
  Pin: 490006
  Contact Nos:
  Email: ramakrishnansridhar3@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2015 JUMP ROPE 15TH STATE LEVEL SCHOOL GAMES FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: To take rest and work upon the scenarios of building a career
Why do you wish to join TMI?: Best institute in india
What are your hobbies?: Playing cricket
What are your strengths?: Leadership
What are your weaknesses?: Lack of experience
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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