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: DNS2178297 Name: AFSAN M
  Address: MADATHODI VATTAMANNAPPURAM PO PALAKKAD
Telephone No.: Mobile no: 9446738518
E-mail: afsanm518@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 435259051
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178297 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: DNS2178297
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AFSAN M
Mother's Name: SAJITHA C
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Apr 2003 Nationality: INDIAN
Place of Birth: PERINTHALMA Personal Identification Mark: A MOLE ON THECHEST
Blood Group: B + Address for Communication: MADATHODI VATTAMANNAPPURAM PO PALAKKAD
State: Kerala Country: India
Pin: 678601 City/District: PALAKKAD
Mobile no: 9446738518 Telephone No. with STD code:
Aadhar Card No:588998414763 E-mail: afsanm518@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SIBGATHULLA M Relationship with candidate: SON
Parents Date of Birth: 27 Apr 1961 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: MADATHODI VATTAMANNAPPURAM PO PALAKKAD
Country: India State: Kerala
City/District: PALAKKAD Pin: 678601
Tel: Mobile no.: 9446638516
Fax: Email: mstedk@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Kerala Board: Kerala
School: GOHSS EDATHANATTUKARA School: GHSS EDATHANATTUKARA
City: EDATHANATTUKARA City: PALAKKAD
English %: 100 Board Roll No./Seat No.: 7215318
Aggregate Percentage: 98 School/College Code: 09003
  Centre code: 21096
  Address of School/College: VATTAMANNAPURAM PO, PALAKKAD, KERALA, INDIA
  Pin: 678601
  Contact Nos: 04924266406
  Email: ghssedathanattukara1@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 122 61
Chemistry 200 162 81
Mathematics 200 121 60.5
Physics, Chemistry & Mathematics combined Percentage: 67.5
English 100 84 84
   
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
01/2017 SCOUT RAJYA PURASKAR RAJYA PURASKAR
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I USE TO SPEND TIME ON MY STUDIES FOR MY MERCHANT NEVY COLLEGE ADMISSION AND MAINTAIN MY FITNESS. I SPEND SOME OF MY FREE TIME TO READ BOOKS AND GET KNOWLEDGE.
Why do you wish to join TMI?: I WANT A GOOD ACADEMY FOR MY MARINE STUDIES. I WANT GET A GOOD FUTURE AND A GOOD COMPANY FOR MY MARINE LIFE. I HOPE I GET IT FROM TMI.
What are your hobbies?: READING BOOKS , SPEECHING , SWIMMING , LISTING MUSIC.
What are your strengths?: IAM PASSIONATE, IAM TRUST FULL, I HAVE LEADERSHIP QUALITY.
What are your weaknesses?: MY SINGING IS NOT GOOD BECAUSE MY VOICE IS GOOD FOR SPEECH, I TRUST PEOPLE VERY MUCH.
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 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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