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: DNS2176212 Name: ASIF O S
  Address: Oliparambil House May First Road Thammanam Kochi
Telephone No.: 091-7909150475 Mobile no: 7909150475
E-mail: asifsakeer4@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 DNS2176212 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: DNS2176212
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ASIF O S
Mother's Name: ASMA N M
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Mar 2003 Nationality: INDIAN
Place of Birth: ERNAKULAM Personal Identification Mark: A BLACK MOLE ON THE LEFT HAND
Blood Group: O + Address for Communication: Oliparambil House May First Road Thammanam Kochi
State: Kerala Country: India
Pin: 682032 City/District: ERNAKULAM
Mobile no: 7909150475 Telephone No. with STD code: 091-7909150475
Aadhar Card No:390800528898 E-mail: asifsakeer4@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SAKEER O A Relationship with candidate: FATHER
Parents Date of Birth: 25 May 1974 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: Oliparambil House May First Road Thammanam
Country: India State: Kerala
City/District: ERNAKULAM Pin: 682032
Tel: Mobile no.: 9037417320
Fax: Email: asifsakeer4@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: MPM HIGHER SECONDARY SCHOOL School: DARUL ULOOM HIGHER SECONDARY
City: ERNAKULAM City: ERNAKULAM
English %: 100 Board Roll No./Seat No.:
Aggregate Percentage: 96 School/College Code:
  Centre code:
  Address of School/College: Darul Uloom Higher Secondary School Pulleppady Ernakulam North
  Pin: 682018
  Contact Nos:
  Email: asifsakeer4@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By Reading Books, By Refering New Courses, By Preparing For Entrance Exams..........
Why do you wish to join TMI?: Because, I Heard About TMI Is Best Option To join For DNS And It Is The Largest Maritime Educational Centres In India.
What are your hobbies?: Playing Football,Reading Books,Watching Movies....
What are your strengths?: Playing Football.......
What are your weaknesses?: Reading Books......
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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