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: DNS2174515 Name: RISHITH R G
  Address: 172/9 SHIVA KRIPA NEAR GUDDE SHREE MAHALINGESHWARA TEMPLE KUDLU POST
Telephone No.: Mobile no: 7306027216
E-mail: rishithrg09@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426066445
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174515 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: DNS2174515
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RISHITH R G
Mother's Name: LAXMI K
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Apr 2001 Nationality: INDIA
Place of Birth: KASARAGOD Personal Identification Mark: BLACK MOLE ON LEFT SIDE OF THE NOSE
Blood Group: B + Address for Communication: 172/9 SHIVA KRIPA NEAR GUDDE SHREE MAHALINGESHWARA TEMPLE KUDLU POST
State: Kerala Country: India
Pin: 671124 City/District: KASARAGOD
Mobile no: 7306027216 Telephone No. with STD code:
Aadhar Card No:974033495172 E-mail: rishithrg09@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: LAXMI K Relationship with candidate: MOTHER
Parents Date of Birth: 13 Jan 1963 Parent's/Guardian's Occupation/Designation: HOUSE WIFE
   
Office Address:
   
Address: 172/9 SHIVA KRIPA NEAR GUDDE SHREE MAHALINGESHWARA TEMPLE KUDLU POST
Country: India State: Kerala
City/District: KASARAGOD Pin: 671124
Tel: Mobile no.: 9747476826
Fax: Email: rishithrg09@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: CHINMAYA VIDYALAYA School: KENDRIYA VIDYALAYA NO.1 CPCRI
City: KASARAGOD City: KASARAGOD
English %: 95 Board Roll No./Seat No.: 4837828
Aggregate Percentage: 91 School/College Code: 06517
  Centre code: 900009
  Address of School/College: KENDRIYA VIDYALAYA NO.1 CPCRI KASARAGOD KERALA
  Pin: 671124
  Contact Nos: 04994232787
  Email: kv1cpcri@gmail.com
  Aggregate Percentage: 81
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 73 73
Mathematics 100 65 65
Physics, Chemistry & Mathematics combined Percentage: 72
English 100 90 90
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent most of my time preparing for entrance examinations and also I spent some time with my family and friends.
Why do you wish to join TMI?: i want to join TMI as it is one of the best institutes in India and also I want placement in a reputed company. i also think that Iam a suitable candidate for this field as Iam quick in adapting to a new environment.
What are your hobbies?: Listening to music, learning new languages, coding
What are your strengths?: Quick Learner, patience, discipline, team player
What are your weaknesses?: Fear of public speaking, bad handwriting
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
 
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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