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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PREEJITH PRASAD
Mother's Name: RETNAMMA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jul 2003 Nationality: INDIAN
Place of Birth: ALAPPUZHA Personal Identification Mark: A BLACK MOL ON THE FORHEAD
Blood Group: B + Address for Communication: PATHINETTILCHIRA EDATHUA PO EDATHUA ALAPPUZHA
State: Kerala Country: India
Pin: 689573 City/District: ALAPPUZHA
Mobile no: 7558027915 Telephone No. with STD code:
Aadhar Card No:314392634244 E-mail: preejithprasad003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: P J PRASAD Relationship with candidate: FATHER
Parents Date of Birth: 05 Nov 1969 Parent's/Guardian's Occupation/Designation: SHOP KEEPER
   
Office Address:
   
Address: PATHINETTILCHIRA EDATHUA PO EDATHUA ALAPPUZHA
Country: India State: Kerala
City/District: ALAPPUZHA Pin: 689573
Tel: Mobile no.: 7558027915
Fax: Email: preejithprasad003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: ST ALOYSIUS HSS EDATHUA School: ST ALOYSIUS HSS EDATHUA
City: EDATHUA City: EDATHUA
English %: 98 Board Roll No./Seat No.:
Aggregate Percentage: 98 School/College Code:
  Centre code:
  Address of School/College: ST ALOYSIUS HSS EDATHUA PO EDATHUA ALAPPUZHA 689573
  Pin: 6895
  Contact Nos:
  Email: sahssedathua@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 ?: I would like to do part time jobs in shops
Why do you wish to join TMI?: I have heard that TMI provide more job opportunities to its students And it is one of the best merchant navy institutes in India.
What are your hobbies?: Bycycle riding,Travelling
What are your strengths?: Positive, Leadership,Hard working,Flexible,Fast learner
What are your weaknesses?: Presentation skills
How do you intend to meet the expenses of this program?: Own Resources,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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