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: DNS2176021 Name: BENHAR RAJ
  Address: PUTHANPURA HOUSE VALLACHIRA P O THRISSUR
Telephone No.: Mobile no: 7994801601
E-mail: benharraj13@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 426791847
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176021 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: DNS2176021
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BENHAR RAJ
Mother's Name: LENY RAJU
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Aug 2002 Nationality: INDIAN
Place of Birth: THRISSUR Personal Identification Mark: A MOLE ON THE LEFT FOREARM
Blood Group: B + Address for Communication: PUTHANPURA HOUSE VALLACHIRA P O THRISSUR
State: Kerala Country: India
Pin: 680562 City/District: THRISSUR
Mobile no: 7994801601 Telephone No. with STD code:
Aadhar Card No:224538190847 E-mail: benharraj13@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJU P O Relationship with candidate: FATHER
Parents Date of Birth: 13 Aug 1976 Parent's/Guardian's Occupation/Designation: DRIVER
   
Office Address:
   
Address: PUTHANPURA HOUSE VALLACHIRA P O THRISSUR
Country: India State: Kerala
City/District: THRISSUR Pin: 680562
Tel: Mobile no.: 8157058843
Fax: Email: lenyraju27@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Kerala Board: Kerala
School: LOURDE MATHA EMHSS CHERPU School: ST THOMAS HSS VALLACHIRA
City: THRISSUR City: THRISSUR
English %: 90 Board Roll No./Seat No.: 7207112
Aggregate Percentage: 97 School/College Code: 08170
  Centre code: 08170
  Address of School/College: VALLACHIRA P O THRISSUR KERALA
  Pin: 680562
  Contact Nos: 9387464766
  Email: royalsystemstcr@gmail.com
  Aggregate Percentage: 81
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 174 87
Chemistry 200 177 88.5
Mathematics 200 137 68.5
Physics, Chemistry & Mathematics combined Percentage: 81.33
English 100 81 81
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: COMPUTER TRAINING AND PART TIME JOB
Why do you wish to join TMI?: I HAVE BEEN SEARCHING FOR LONG TIME FOR A GOOD AND QUALITY INSTITUTE, I FOUND ALL THE QUALITIES FOR MY BRIGHT FUTURE AT TMI
What are your hobbies?: SPORTS AND TRAVELLING
What are your strengths?: HONEST AND RESPONSIBLE
What are your weaknesses?: SENSITIVE
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
 
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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