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: DNS2175449 Name: PRAKASHAN MUNDAYADAN
  Address: THEJUS AYITHARA MAMBARAM AYITHARA MAMBARAM PO
Telephone No.: Mobile no: 9072871950
E-mail: thejusprakashan@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 428679772
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175449 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: DNS2175449
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PRAKASHAN MUNDAYADAN
Mother's Name: NISHA T V
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Apr 2001 Nationality: INDIAN
Place of Birth: KANNUR Personal Identification Mark: A BLACK MOLE ON THE RIGHT HAND SMALL FINGER
Blood Group: B + Address for Communication: THEJUS AYITHARA MAMBARAM AYITHARA MAMBARAM PO
State: Kerala Country: India
Pin: 670643 City/District: KANNUR
Mobile no: 9072871950 Telephone No. with STD code:
Aadhar Card No:287965587065 E-mail: thejusprakashan@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRAKASHAN MUNDAYADAN Relationship with candidate: FATHER
Parents Date of Birth: 29 May 1966 Parent's/Guardian's Occupation/Designation: GOVERNMENT EMPLOYEE
   
Office Address:
   
Address: CJM COURT KASARGOD
Country: India State: Kerala
City/District: KASARGOD Pin: 671123
Tel: 8547591840 Mobile no.: 8547591840
Fax: Email: prakashanmundayatan@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Kerala Board: Kerala
School: KUTHUPARAMBA HIGHER SECONDARY SCHOOL School: KUTHUPARAMBA HSS THOKKILANGADI
City: KANNUR City: KANNUR
English %: 95 Board Roll No./Seat No.: 6427219
Aggregate Percentage: 88 School/College Code: 13180
  Centre code: 13180
  Address of School/College: KUTHUPARAMBA HSS THOKKILANGADI ,KUTHUPARAMBA
  Pin: 670643
  Contact Nos:
  Email: hsskpba@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 160 80
Chemistry 200 160 80
Mathematics 200 160 80
Physics, Chemistry & Mathematics combined Percentage: 80
English 100 80 80
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am a second year BSc Physics Student.
Why do you wish to join TMI?: TMI is a well reputed institute in the field of marine education.Joining TMI is first step to enter Marine Field
What are your hobbies?: Playing Musical Keyboard. Playing chess
What are your strengths?: I am very patient while doing a work
What are your weaknesses?: Taking too much responsiblity
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 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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