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: DNS2178114 Name: HRITHIK GOPI CHANDRATHIL
  Address: CHANDRATHIL HOUSE PAPPANOOR,VELIMUKKU SOUTH PO
Telephone No.: Mobile no: 9946647860
E-mail: hrgopi10@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: 428961545
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178114 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: DNS2178114
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HRITHIK GOPI CHANDRATHIL
Mother's Name: SHEENA KUMARI V K
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Oct 2000 Nationality: INDIAN
Place of Birth: CHEMMAD Personal Identification Mark: A BLACK MOLE ON RIGHT EYEBROW
Blood Group: A + Address for Communication: CHANDRATHIL HOUSE PAPPANOOR,VELIMUKKU SOUTH PO
State: Kerala Country: India
Pin: 676317 City/District: MALAPPURAM
Mobile no: 9946647860 Telephone No. with STD code:
Aadhar Card No:486947033213 E-mail: hrgopi10@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: GOPINATHAN CHANDRATHIL Relationship with candidate: FATHER
Parents Date of Birth: 30 Mar 1970 Parent's/Guardian's Occupation/Designation: DRIVER
   
Office Address:
   
Address: CHANDRATHIL HOUSE PAPPANOOR,VELIMUKKU SOUTH PO
Country: India State: Kerala
City/District: MALAPPURAM Pin: 676317
Tel: Mobile no.: 9447697721
Fax: Email: hrithikgopi5@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: Kerala
School: MEMS ENGLISH MED SCHOOL THENHIPALAM School: MVHSS ARIYALLUR
City: MALAPPURAM City: MALAPPURAM
English %: 80 Board Roll No./Seat No.: 5339656
Aggregate Percentage: 82 School/College Code: 11047
  Centre code: 11047
  Address of School/College: MVHSS ARIYALLUR,MALAPPURAM
  Pin: 676312
  Contact Nos: 04942470150
  Email: mvhssariyallur@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 157 78.5
Chemistry 200 164 82
Mathematics 200 160 80
Physics, Chemistry & Mathematics combined Percentage: 80.17
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 ?: COMPUTER COURSE
Why do you wish to join TMI?: BEST COLLEGE FOR DNS
What are your hobbies?: READING,WRITING
What are your strengths?: PATIENCE
What are your weaknesses?: DOES NOT LIKE ARGUMENT
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate 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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