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: DNS2177230
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abin Benny
Mother's Name: Jini M J
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Feb 2002 Nationality: Indian
Place of Birth: Thaliparamb Personal Identification Mark: A black mole on the right hand
Blood Group: O + Address for Communication: Manniplakkal house ,Naduvil ,vilakkannur,kerala,kannur
State: Kerala Country: India
Pin: 670582 City/District: Kannur
Mobile no: 9961912515 Telephone No. with STD code:
Aadhar Card No:776597163999 E-mail: abinbenny7107@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Benny Sebastian Relationship with candidate: Father
Parents Date of Birth: 23 Oct 1974 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Manniplakkal Naduvil,vilakkanur
Country: India State: Kerala
City/District: Kannur Pin: 670582
Tel: Mobile no.: 9747301833
Fax: Email: bennykichu1@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Girideepam Bethany hss vadavathoor School: Girideepam Bethany hss vadavathoor
City: Kottayam City: Kottayam
English %: 99 Board Roll No./Seat No.:
Aggregate Percentage: 99 School/College Code:
  Centre code:
  Address of School/College: Bethany hills, vadavathoor p.o, kottayam
  Pin: 670582
  Contact Nos: 7356550952
  Email: hmgirideepam@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2019 Sportsvolleyball Kerala state level 4th
10/2019 Sportsvolleyball Kerala state level Second
10/2018 Sportsvolleyball Kerala state level First
12/2017 Sports volleyball Kerala State level 7th
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Work hard for get admission in tolani ,study for imu exam
Why do you wish to join TMI?: Tolani Maritime Institute is one of the largest maritime educational and provide good placement
What are your hobbies?: Playing volleyball,reading
What are your strengths?: Self sufficient,family
What are your weaknesses?: Family
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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