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: DNS2175978 Name: AMEEN RASHEED K
  Address: Kalappadan house Kattippadi, edakkara po Malappuram, kerala
Telephone No.: 04931276666 Mobile no: 7025181322
E-mail: ameenrasheedk001@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 429477600
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2175978 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: DNS2175978
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AMEEN RASHEED K
Mother's Name: Naseema Rasheed k
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Feb 2002 Nationality: India
Place of Birth: India Personal Identification Mark: Black mole on left hand
Blood Group: O + Address for Communication: Kalappadan house Kattippadi, edakkara po Malappuram, kerala
State: Kerala Country: India
Pin: 679331 City/District: Malappuram
Mobile no: 7025181322 Telephone No. with STD code: 04931276666
Aadhar Card No:431321729672 E-mail: ameenrasheedk001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Abdul rashees Relationship with candidate: Father
Parents Date of Birth: 05 Mar 1957 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Prestige hut kalasagar Edakkara Malappuram, Kerala
Country: India State: Kerala
City/District: Malappuram Pin: 679331
Tel: 04931276666 Mobile no.: 9495808322
Fax: Email: rasheedkalappadan@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: Peevees model school School: PTM higher secondary school vellila
City: Nilambur City: Vellila
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: PTM higher secondary school Vellila, manjeri Malappuram, Kerala
  Pin: 679324
  Contact Nos: 049313235567
  Email: ptmhsschoolvellila@gmail.com
  Aggregate Percentage:
   
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
12/2019 Football CBSE malappuram district winner Team captain
10/2018 Kol kalli 1st prize in CBSE malappuram district Player
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2019 Football 1 year
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Iam currently working and earning some money. Iam also preparing for the entrance examination.
Why do you wish to join TMI?: TMI is one of the best DGS approved Institute for DNS. And my friend working in merchant Navy suggest TMI
What are your hobbies?: Playing football, chatting
What are your strengths?: Leadership quality, strong mental health, focused, taking initiative
What are your weaknesses?: My character will become extremely extrovert in a introvert group
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 not uploaded Class XII marksheet not uploaded
 
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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