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: DNS2174923 Name: ANMOL KISPOTTA
  Address: MQ-39 Urja nagar, ward no -21 Gevra project , Deepka , korba , Chhattisgarh ,495452
Telephone No.: Mobile no: 7000063642
E-mail: anmolkispotta5432@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 426056166
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174923 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: DNS2174923
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANMOL KISPOTTA
Mother's Name: Sunita Kispotta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jul 2003 Nationality: Indian
Place of Birth: Deepka Personal Identification Mark: mole in left shoulder
Blood Group: B + Address for Communication: MQ-39 Urja nagar, ward no -21 Gevra project , Deepka , korba , Chhattisgarh ,495452
State: Chattisgarh Country: India
Pin: 495452 City/District: Korba
Mobile no: 7000063642 Telephone No. with STD code:
Aadhar Card No:364479641498 E-mail: anmolkispotta5432@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sadrak kispotta Relationship with candidate: Father
Parents Date of Birth: 15 Oct 1970 Parent's/Guardian's Occupation/Designation: CLERK
   
Office Address:
   
Address: OFFICE OF THE GENERAL MANAGER SECL GEVRA PROJECT Gevra Project , Korba , Chhattisgarh ,495452
Country: India State: Chattisgarh
City/District: korba Pin: 495452
Tel: Mobile no.: 9479223187
Fax: Email: sadrakkispotta@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Sainik School Ambikapur School: DDM Public School
City: Ambikapur City: Korba
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: Transport Nagar , behind Indira stadium , Korba, chhattisgarh 495677
  Pin: 4
  Contact Nos:
  Email: adminssion@ddmgroup.in
  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 Republic Day Parade District 1
08/2016 Football Competition School 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to read novels and work on my communication skills .
Why do you wish to join TMI?: I wish to join TMI because I wanted to become a deck officers in merchant navy. joining reputed colleges like TMI is my first step towards becoming a good deck officer .
What are your hobbies?: Reading novels and Travelling.
What are your strengths?: I regularly complete my assignments and i always try to give my very best in any activities.
What are your weaknesses?: I trust people very easily .
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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