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: DNS2175917 Name: Subramanya Venktayya Naik
  Address: Uttar Kannada, Karnataka Bhatkal Taluk,Uttar Kannada Distrct
Telephone No.: Mobile no: 9380797062
E-mail: subbuvnaik55@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: 426662673
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175917 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: DNS2175917
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Subramanya Venktayya Naik
Mother's Name: Padmavathi Naik
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Oct 2001 Nationality: Indian
Place of Birth: Karnataka Personal Identification Mark: NA
Blood Group: B + Address for Communication: Uttar Kannada, Karnataka Bhatkal Taluk,Uttar Kannada Distrct
State: Karnataka Country: India
Pin: 581320 City/District: Uttar Kannada
Mobile no: 9380797062 Telephone No. with STD code:
Aadhar Card No:279566020610 E-mail: subbuvnaik55@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Venktayya Naik Relationship with candidate: Father
Parents Date of Birth: 22 Sep 1969 Parent's/Guardian's Occupation/Designation: Merchant Navy / Chief Cook
   
Office Address:
   
Address: NA NA
Country: India State: Karnataka
City/District: Uttar Kannada Pin: 581320
Tel: Mobile no.: 6363797390
Fax: Email: venktayyan@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Karnataka Board: Karnataka
School: Anand Ashram Convent High School School: Anand Ashram PU College
City: Bhatkal Taluk City: Bhatkal Taluk
English %: 80 Board Roll No./Seat No.: 353841
Aggregate Percentage: 80 School/College Code: NA
  Centre code: NA
  Address of School/College: Anand Ashram PU College,Bhatkal Taluk,Karnataka
  Pin: 581320
  Contact Nos:
  Email: anandashram12@gmail.com
  Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 56 56
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 65.67
English 100 58 58
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I WILL SPEND MY TIME BY READING BOOKS.
Why do you wish to join TMI?: I FOUND THIS INSTITUTE PERFECT FOR ME.
What are your hobbies?: LISTENING MUSIC, FISHING
What are your strengths?: MY STRENGTH IS MY KNOWLEDGE.
What are your weaknesses?: I TRUST PEOPLE EASILY.
How do you intend to meet the expenses of this program?: Other - OTHER
 
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
 
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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