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: DNS2176650 Name: AMEEN SANEEQUE A R
  Address: ARSH, KYTYERA PUNNASSERY NARIKKUNI, KOZHIKODE
Telephone No.: Mobile no: 8590493644
E-mail: ameensaneeque@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430791755
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2176650 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: DNS2176650
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AMEEN SANEEQUE A R
Mother's Name: RASEENA K P
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Aug 2002 Nationality: Indian
Place of Birth: KOZHIKODE Personal Identification Mark: A black mole in both the left and right middle finger
Blood Group: B + Address for Communication: ARSH, KYTYERA PUNNASSERY NARIKKUNI, KOZHIKODE
State: Kerala Country: India
Pin: 673585 City/District: KOZHIKODE
Mobile no: 8590493644 Telephone No. with STD code:
Aadhar Card No:636290145950 E-mail: ameensaneeque@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ABDUL AZEEZ M C Relationship with candidate: Father
Parents Date of Birth: 12 May 1972 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: PD TEARCHER GMUPS ELETTIL P O Elettil , Koduvally
Country: India State: Kerala
City/District: KOZHIKODE Pin: 673572
Tel: Mobile no.: 9446287758
Fax: Email: mcabdulazeez@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Kerala Board: Kerala
School: KHSS KUTTAMBOOR School: Govt Higher Secondary School Narikkuni
City: Kozhikode City: Kozhikode
English %: 95 Board Roll No./Seat No.: 7282524
Aggregate Percentage: 95 School/College Code: 10099
  Centre code: 10099
  Address of School/College: GHSS NARIKKUNI NARIKKUNI KOZHIKODE,
  Pin: 673585
  Contact Nos: 04953143665
  Email: narikunighss@gmail.com
  Aggregate Percentage: 95
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 181 90.5
Chemistry 200 195 97.5
Mathematics 200 180 90
Physics, Chemistry & Mathematics combined Percentage: 92.67
English 100 91 91
   
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
10/2019 POWERLIFTING SUB DISTRICT 1
10/2019 WEIGHTLIFTING SUB DISTRICT 1
09/2019 VOLLEYBALL SUB DISTRICT 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I Spend my time going to the gym .
Why do you wish to join TMI?: TMI is one of the good colleges for DNS and other marine related courses. So I wanted to study here.
What are your hobbies?: going to the GYM
What are your strengths?: Helping capacity,Straight forward,Language skill
What are your weaknesses?: Dancing, Singing
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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