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: DNS2174935 Name: Muhammed Nabeel K N
  Address: Kongarassery house pattanam vadakkekara ernakulam kerala Kongarassery house pattanam vadakkekara ernakulam kerala
Telephone No.: Mobile no: 9567337855
E-mail: nabeelkn337855@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: 426165570
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2174935 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: DNS2174935
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Muhammed Nabeel K N
Mother's Name: Sherbin
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Feb 2002 Nationality: Indian
Place of Birth: Kerala Personal Identification Mark: Black spot on right hand middle finger
Blood Group: O + Address for Communication: Kongarassery house pattanam vadakkekara ernakulam kerala Kongarassery house pattanam vadakkekara ernakulam kerala
State: Kerala Country: India
Pin: 683522 City/District: Ernakulam
Mobile no: 9567337855 Telephone No. with STD code:
Aadhar Card No:742991549740 E-mail: nabeelkn337855@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Noushad K S Relationship with candidate: Father
Parents Date of Birth: 10 Apr 1969 Parent's/Guardian's Occupation/Designation: Mechanic
   
Office Address:
   
Address: Kongarassery pattanam vadakkekara ernakulam kerala Kongarassery pattanam vadakkekara ernakulam kerala
Country: India State: Kerala
City/District: Ernakulam Pin: 683522
Tel: Mobile no.: 9656952457
Fax: Email: ksnoushad18@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Kerala
School: Hdpy english medium public school School: Govt hss chendamangalam
City: Ernakulam City: Ernakulam
English %: 85 Board Roll No./Seat No.: 7140686
Aggregate Percentage: 86 School/College Code: 07002
  Centre code: 07002
  Address of School/College: PGHSS chendamangalam ernakulam kerala
  Pin: 683512
  Contact Nos:
  Email: pghss@gmail.com
  Aggregate Percentage: 92
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 179 89.5
Chemistry 200 197 98.5
Mathematics 200 172 86
Physics, Chemistry & Mathematics combined Percentage: 91.33
English 100 90 90
   
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
12/2017 100m 1st school level 200m 1st school level Long jumb 1st school level
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Due to covid lockdown,i used to spend most of the time at home playing badminton with siblings and spend some times for studies
Why do you wish to join TMI?: One of the best maritime institute which ensures placement
What are your hobbies?: Playing football,cycling
What are your strengths?: I will work hard until i get the result
What are your weaknesses?: Sensitive person
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate Class X marksheet School leaving certificate 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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