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: DNS2175224 Name: Sherwin Eagan Dsouza
  Address: Hno 50/B, Cardoz waddo, Seraulim, Salcete Goa Hno 50/B, Cardoz waddo, Seraulim, Salcete Goa
Telephone No.: Mobile no: 8329315745
E-mail: sherwindsouza22@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426181216
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175224 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: DNS2175224
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sherwin Eagan Dsouza
Mother's Name: Melba Godinho
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jan 2000 Nationality: Indian
Place of Birth: Margao Personal Identification Mark: None
Blood Group: A + Address for Communication: Hno 50/B, Cardoz waddo, Seraulim, Salcete Goa Hno 50/B, Cardoz waddo, Seraulim, Salcete Goa
State: Goa Country: India
Pin: 403708 City/District: Margao
Mobile no: 8329315745 Telephone No. with STD code:
Aadhar Card No:892841189994 E-mail: sherwindsouza22@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Melba Godinho Relationship with candidate: Mother
Parents Date of Birth: 23 Jun 1971 Parent's/Guardian's Occupation/Designation: Medical murse
   
Office Address:
   
Address: Goa Medical College Bambolim Goa Goa Medical College Bambolim Goa
Country: India State: Goa
City/District: Margao Pin: 403708
Tel: Mobile no.: 9689159073
Fax: Email: sherwindsouza19@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2020
Board: Goa Board: Goa
School: Fr Agnel Multipurpose High School School: Fr Agnel Multipurpose Higher Secondary
City: Margao City: Margao
English %: 83 Board Roll No./Seat No.: 56434
Aggregate Percentage: 86 School/College Code: HS037
  Centre code: 09
  Address of School/College: Verna, AgnelGanv, South Goa
  Pin: 403722
  Contact Nos: 09689159073
  Email: sherwindsouza19@gmail.com
  Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 62 62
Chemistry 100 65 65
Mathematics 100 50 50
Physics, Chemistry & Mathematics combined Percentage: 59
English 100 70 70
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to enroll my self in a short online corse for digital marketing
Why do you wish to join TMI?: As it is one of the most reputed maritime institutes in India and affiliated to major shipping companies from all over the world
What are your hobbies?: Ii love playing outdoor sports, I have played football and badminton for my school , I love listening to music ,reading novels and I am a big fan of anime
What are your strengths?: I am great at team management, good leadership qualities and can stay calm in intense situations, I have great communication skill and am fluent in Hindi, Konkani and English
What are your weaknesses?: I am more of a people pleaser, I think about others more than myself although I am trying to work on my weaknesses and be a better person everyday
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 Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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