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: DNS2177399 Name: Athulpj
  Address: Padinjaremuriyil, padiyotuchal Padiyotuchal P O, Peringome, Kannur, Kerala
Telephone No.: 08547347407 Mobile no: 8547347407
E-mail: athulpj790@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 DNS2177399 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2177399
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Athulpj
Mother's Name: Preethi Mathew
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Apr 2003 Nationality: Indian
Place of Birth: Cherupuzha Personal Identification Mark: Black mole on left forefinger
Blood Group: O + Address for Communication: Padinjaremuriyil, padiyotuchal Padiyotuchal P O, Peringome, Kannur, Kerala
State: Kerala Country: India
Pin: 670353 City/District: Kannur district
Mobile no: 8547347407 Telephone No. with STD code: 08547347407
Aadhar Card No:486564620700 E-mail: athulpj790@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Joseph PC Relationship with candidate: Father
Parents Date of Birth: 10 Oct 1977 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Padinjaremuriyil, padiyotuchal Padiyotuchal P O, peringome, Kannur, Kerala
Country: India State: Kerala
City/District: Kannur district Pin: 670353
Tel: 08547347407 Mobile no.: 9447685318
Fax: Email: binoyjoseph910@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: st.marys School: GHSS PRAPOYIL
City: Cherupuzha City: Cherupuzha
English %: 97 Board Roll No./Seat No.:
Aggregate Percentage: 97 School/College Code:
  Centre code:
  Address of School/College: Padinjaremuriyil, padiyotuchal Padiyotuchal P O, peringome, Kannur, Kerala
  Pin: 670307
  Contact Nos: 08547347407
  Email: athulpj790@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
07/2016 NCC School level Cadet
2016 Running Sub district level 3rd position
2020 Tug of war District level 2nd position
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Going for part time job
Why do you wish to join TMI?: I wish my career in ship and it is my dream
What are your hobbies?: Reading stories,playing
What are your strengths?: Creativity, leadership
What are your weaknesses?: Self criticism
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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