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: DNS2175479 Name: Salman ibnu abdul hameed
  Address: Madathil house vattapparamba po chaliyam Madathil house vattapparamba po chaliyam Madathil house vattapparamba po chaliyam
Telephone No.: 06238258316 Mobile no: 6238258316
E-mail: salmanibnuabdulhameed@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175479 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2175479
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Salman ibnu abdul hameed
Mother's Name: Hasbeeja pc
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: Indian
Place of Birth: Kozhikode Personal Identification Mark: A black mole on right leg angle
Blood Group: B + Address for Communication: Madathil house vattapparamba po chaliyam Madathil house vattapparamba po chaliyam Madathil house vattapparamba po chaliyam
State: Kerala Country: India
Pin: 673301 City/District: Kozhikode
Mobile no: 6238258316 Telephone No. with STD code: 06238258316
Aadhar Card No:287881380738 E-mail: salmanibnuabdulhameed@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Abdul Hameed mk Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Coolie
   
Office Address:
   
Address: Madathil house vattapparamba po chaliyam Madathil house vattapparamba po chaliyam Madathil house vattapparamba po chaliyam
Country: India State: Kerala
City/District: Kozhikode Pin: 673301
Tel: 9961911155 Mobile no.: 6238258316
Fax: Email: salmanibnuabdulhameed@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Umbichy hajee higher secondary school chaliyam School: Umbichy hajee higher secondary school chaliyam
City: Kozhikode City: Kozhikode
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: Umbichy hajee higher secondary school chaliyam
  Pin: 673301
  Contact Nos: 06238258316
  Email: salmanibnuabdulhameed@gmail.com
  Aggregate Percentage: 95
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
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
04/2020 Teakwondo championship State Participation
09/2018 Teakwondo State Participation
04/2017 BALL BATMITON District Second
02/2019 Teakwondo Inter club state championship Participation
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
07/2017 Ncc 10 days
03/2020 Bharat scout 2 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Iam not joining to college Iam start to prepare for merchant navy
Why do you wish to join TMI?: This is the one of the best DNS course college thats Why I prefer it I love this college and I love and like it very well
What are your hobbies?: Singing Teakwondo practice some time reading
What are your strengths?: Iam a Teakwondo master and the iam strength for me
What are your weaknesses?: I think I have not weakness
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 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

 

___________________

Date ________________

 
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