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: DNS2176952
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Akash M
Mother's Name: REVATHI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Nov 2003 Nationality: INDIA
Place of Birth: KERALA Personal Identification Mark: A balck mole on left cheeck
Blood Group: B + Address for Communication: AKASH.MS/0 MUTHURAJ VALLIYOTTU KODAKKAD OLAT PO 671310 KASARAGOD KERALA MUTHURAJ S/O BALAKRISHAN VALLIYOTTU VALAPPIL KODAKKAD OLAT PO 671310 KASARAGOD KERALA
State: Kerala Country: India
Pin: 671310 City/District: KANNUR KASARAGOD
Mobile no: 8078315212 Telephone No. with STD code:
Aadhar Card No:656246888521 E-mail: akashkodakkad9595@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MUTHURAJ Relationship with candidate: FATHER
Parents Date of Birth: 25 Mar 1978 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: AKASH.MS/0 MUTHURAJ VALLIYOTTU KODAKKAD OLAT PO 671310 KASARAGOD KERALA MUTHURAJ S/O BALAKRISHAN VALLIYOTTU VALAPPIL KODAKKAD OLAT PO 671310 KASARAGOD KERALA
Country: India State: Kerala
City/District: KANNUR KASARAGOD Pin: 671310
Tel: Mobile no.: 8078315212
Fax: Email: akashkodakkad9595@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: AVS GOVT HIGHER SECONDARY SCHOOL School: GHSS CHEEMENI
City: KANNUR City: CHEEMENI
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: AKASH.MS/0 MUTHURAJ VALLIYOTTU KODAKKAD OLAT PO 671310 KASARAGOD KERALA MUTHURAJ S/O BALAKRISHAN VALLIYOTTU VALAPPIL KODAKKAD OLAT PO 671310 KASARAGOD KERALA
  Pin: 671310
  Contact Nos: 08078315212
  Email: akashkodakkad9595@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 ?: Reading traveing know about the world
Why do you wish to join TMI?: One of the best collage in india for study for DNS
What are your hobbies?: Traveling reading spending time with family
What are your strengths?: Simply mingle to everyone aggressive
What are your weaknesses?: Angry
How do you intend to meet the expenses of this program?: Bank Loan
 
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 ________________

 
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