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: DNS2177606 Name: AKHIL RAJ R
  Address: RAJI BHAVANAM PUTHIYAVILA, PATTOLIMARKET P O KAYAMKULAM
Telephone No.: Mobile no: 9061769873
E-mail: akhilrajachu3916@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 428752626
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177606 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: DNS2177606
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AKHIL RAJ R
Mother's Name: SINDHU A P
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Apr 2000 Nationality: INDIAN
Place of Birth: KAYAMKULAM Personal Identification Mark: A BLACK MOLE ON THE LEFT UPPER EYELID
Blood Group: O + Address for Communication: RAJI BHAVANAM PUTHIYAVILA, PATTOLIMARKET P O KAYAMKULAM
State: Kerala Country: India
Pin: 690531 City/District: ALAPPUZHA
Mobile no: 9061769873 Telephone No. with STD code:
Aadhar Card No:932736998025 E-mail: akhilrajachu3916@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJAN N Relationship with candidate: FATHER
Parents Date of Birth: 25 May 1966 Parent's/Guardian's Occupation/Designation: MASON
   
Office Address:
   
Address: NA NA NA
Country: India State: Kerala
City/District: NA Pin: NA
Tel: Mobile no.: 9656493637
Fax: Email: athasya3916@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Kerala Board: Kerala
School: KOPPARETHU HS PUTHIYAVILA School: SAMAJAM HSS
City: PATTOLIMARKET P O City: MUTHUKULAM
English %: 95 Board Roll No./Seat No.: 5103552
Aggregate Percentage: 97 School/College Code: 4073
  Centre code: 4073
  Address of School/College: SAMAJAM HSS MUTHUKULAM MUTHUKULAM P O
  Pin: 690506
  Contact Nos: 04792475588
  Email: 04073hssmklm@gmail.com
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 151 75.5
Chemistry 200 137 68.5
Mathematics 200 147 73.5
Physics, Chemistry & Mathematics combined Percentage: 72.5
English 100 73 73
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: NO
Why do you wish to join TMI?: FOR HIGHER EDUCATION AND BETTER JOB
What are your hobbies?: CRICKET
What are your strengths?: POLITE AND HANDWORKING
What are your weaknesses?: NA
How do you intend to meet the expenses of this program?: Own Resources
 
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

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Date ________________

 
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