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: DNS2175139 Name: GONSALVES ALLELUIA ALFRED
  Address: E 265 KHAKILWADA NEAR COTTAGE HOSPITAL
Telephone No.: Mobile no: 8378920454
E-mail: gonsalvesalleluia@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431899166
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175139 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: DNS2175139
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GONSALVES ALLELUIA ALFRED
Mother's Name: SANDHYA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Oct 2002 Nationality: INDIA
Place of Birth: SAWANTWADI Personal Identification Mark: MOLE ON LEFT HAND ARM
Blood Group: B + Address for Communication: E 265 KHAKILWADA NEAR COTTAGE HOSPITAL
State: Maharashtra Country: India
Pin: 416510 City/District: SINDHUDURG
Mobile no: 8378920454 Telephone No. with STD code:
Aadhar Card No:469284844037 E-mail: gonsalvesalleluia@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANDHYA GONSALVES Relationship with candidate: MOTHER
Parents Date of Birth: 09 Oct 1979 Parent's/Guardian's Occupation/Designation: HOUSEWIFE
   
Office Address:
   
Address: E 265 KHASKILWADA SAWANTWADI
Country: India State: Maharashtra
City/District: SINDHUDURG Pin: 416510
Tel: Mobile no.: 9960382208
Fax: Email: sandhyagonsalves1979@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: MILAGRIS HIGH SCHOOL School: MILAGRIS JR COLLEGE
City: SAWANTWADI City: SAWANTWADI
English %: 61 Board Roll No./Seat No.: W006344
Aggregate Percentage: 73 School/College Code: 27330608624
  Centre code: 0845
  Address of School/College: SALAIWADA SAWANTWADI SINDHUDURG
  Pin: 416510
  Contact Nos:
  Email: milagrisjc@gmail.com
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 60 60
Chemistry 100 60 60
Mathematics 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 64
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: SPORTS ACTIVITY COMPUTER IT COURSE
Why do you wish to join TMI?: YES
What are your hobbies?: FOOTBALL DRAWING
What are your strengths?: Honesty Dedication Team work Leadership
What are your weaknesses?: Giving to much details on reports
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 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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