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: DNS2177001 Name: Gautham vs
  Address: Souparnika panayamcherry anchal po Souparnika panayamcherry anchal po
Telephone No.: Mobile no: 8547653608
E-mail: gauthamvs2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177001 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: DNS2177001
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Gautham vs
Mother's Name: Sony l
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Aug 2003 Nationality: India
Place of Birth: Punalur Personal Identification Mark: A black mark on the right hand ring finger
Blood Group: O + Address for Communication: Souparnika panayamcherry anchal po Souparnika panayamcherry anchal po
State: Kerala Country: India
Pin: 691306 City/District: Kollam
Mobile no: 8547653608 Telephone No. with STD code:
Aadhar Card No: E-mail: gauthamvs2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Venunathan pillai j Relationship with candidate: Father
Parents Date of Birth: 13 Apr 1972 Parent's/Guardian's Occupation/Designation: Govt service
   
Office Address:
   
Address: chief judicial magistrate court.,kollam chief judicial magistrate court.,kollam
Country: India State: Kerala
City/District: Kollam Pin: 691306
Tel: Mobile no.: 8547653608
Fax: Email: gauthamvs2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: GHSS Anchal West School: GMGHSS chadayamangalam
City: Kollam City: Kollam
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Centre code:
  Address of School/College: GMGHSS chadayamangalam kollam
  Pin: 691306
  Contact Nos:
  Email: gmghsscdlm@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 ?: Trying to improve my knowledge
Why do you wish to join TMI?: One of my favourite Institute
What are your hobbies?: basketball
What are your strengths?: To face in critical situations
What are your weaknesses?: Sadness of others
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 ________________

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