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: DNS2176313
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MAHESH THOTALA
Mother's Name: THOTALA PADMINI KUMARI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Apr 2002 Nationality: INDIAN
Place of Birth: KHARAGPUR Personal Identification Mark: ONE BLACK MOLE ON FORE HEAD
Blood Group: B + Address for Communication: 4L/7B-1 UNIT-17 NIMPURA MAIN ROAD NEAR RAVINDRAPARK
State: West Bengal Country: India
Pin: 721304 City/District: PASCHIM MEDNIPUR
Mobile no: 7364996826 Telephone No. with STD code:
Aadhar Card No:411670787409 E-mail: babum1522@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: LANKA SUJATA Relationship with candidate: AUNT
Parents Date of Birth: 10 Feb 1985 Parent's/Guardian's Occupation/Designation: RAILWAY EMPLOY
   
Office Address:
   
Address: 4L/7B-1 UNIT-17 NIMPURA MAIN ROAD NEAR RAVINDRAPARK
Country: India State: West Bengal
City/District: PASCHIM MEDNIPORE Pin: 721304
Tel: Mobile no.: 8617648561
Fax: Email: devananlanka@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: SRI PRAKASH VIDYANIKETAN School: VIGNAN VIDYALAYAM SCHOOL
City: VISHAKAPATNAM City: VISHAKAPATNAM
English %: 83 Board Roll No./Seat No.: 20654282
Aggregate Percentage: 71 School/College Code: 57072
  Centre code: 5920
  Address of School/College: VIGNAN VIDYALAYAM SCHOOL THIMMAPURAM BHEEMLI BEACH ROAD VISHAKAPATNAM AP
  Pin: 531163
  Contact Nos:
  Email: vignanthimmapuram@gmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 66 66
Mathematics 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 72
English 100 72 72
   
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
10/2018 BASKETBALL ZONAL PARTICIPATION
09/2019 ATHLETICS ZONAL PARTICIPATION
10/2019 BASKETBALL STATE PARTICIPATION
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: IN USE TO SPEND MORE TIME IN PLAY GROUND . AT NIGHT SOME WHAT TIME IN REVISION OF ALL BASIC TOPICS OF CLASS 12
Why do you wish to join TMI?: TMI IS ONE OF THE BEST INSTITUTE OF INDIA FOR MARITIME STUDIES
What are your hobbies?: WATCHING CRICKET MATCHES
What are your strengths?: MATHEMATICS , SPORTS AND GAMES
What are your weaknesses?: CONVERSATION SKILLS
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.