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: DNS2174845 Name: Amarpreeth
  Address: Aarshavas po vadakkumbad, thalassery, kannur Remyabhavan po kavumbhagam, thalassery, kannur
Telephone No.: 04902351881 Mobile no: 8301976381
E-mail: amarpreeth90@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426075866
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174845 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: DNS2174845
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Amarpreeth
Mother's Name: REMIA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Jul 2003 Nationality: Indian
Place of Birth: Thalassery Personal Identification Mark: A black mole on the left hand
Blood Group: O + Address for Communication: Aarshavas po vadakkumbad, thalassery, kannur Remyabhavan po kavumbhagam, thalassery, kannur
State: Kerala Country: India
Pin: 670105 City/District: Kannur
Mobile no: 8301976381 Telephone No. with STD code: 04902351881
Aadhar Card No:367408388616 E-mail: amarpreeth90@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Aarsharaj Relationship with candidate: Father
Parents Date of Birth: 24 Apr 1975 Parent's/Guardian's Occupation/Designation: Document writter
   
Office Address:
   
Address: Properties and service, Jazz complex,near post office, thalassery, kannur Aarshvas, po vadakkumbad, thalassery, kannur
Country: India State: Kerala
City/District: KANNUR Pin: 670101
Tel: 04902323156 Mobile no.: 9447051881
Fax: 04902323156 Email: aarshan@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Other
School: Chinmayavidyalaya School: Excel public school
City: Kannur City: Mahe
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 65 School/College Code:
  Centre code:
  Address of School/College: Chalakkara, mahe
  Pin: 673311
  Contact Nos: 04902333626
  Email: excelpublicschoolmahe@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
01/2017 NCC SCHOOL POC
04/2018 Football roversclub Club Centerback
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Knowing more about the working of ships
Why do you wish to join TMI?: It is the best college for getting placements
What are your hobbies?: Swimming, football
What are your strengths?: I am a good listener, I can handle any problems
What are your weaknesses?: Darwing
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 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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