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: DNS2178392 Name: Chris Benny Kuniyanthodath
  Address: KUNIYANTHODATH HOUSE, MADAPLATHURUTH, MOOTHAKUNNAM .P.O
Telephone No.: 07558085917 Mobile no: 7558085917
E-mail: chrisbennychris@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: 429295690
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178392 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: DNS2178392
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Chris Benny Kuniyanthodath
Mother's Name: Soni Benny
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Apr 2003 Nationality: India
Place of Birth: Kodungallur Personal Identification Mark: mol on right leg
Blood Group: B + Address for Communication: KUNIYANTHODATH HOUSE, MADAPLATHURUTH, MOOTHAKUNNAM .P.O
State: Kerala Country: India
Pin: 683516 City/District: ERNAKULAM
Mobile no: 7558085917 Telephone No. with STD code: 07558085917
Aadhar Card No:479696603026 E-mail: chrisbennychris@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Soni Benny Relationship with candidate: Mother
Parents Date of Birth: 08 Jan 1996 Parent's/Guardian's Occupation/Designation: Busines
   
Office Address:
   
Address: KUNIYANTHODATH HOUSE, MADAPLATHURUTH, MOOTHAKUNNAM .P.O
Country: India State: Kerala
City/District: ERNAKULAM Pin: 683516
Tel: 07558085917 Mobile no.: 7558085917
Fax: Email: chrisbennychris@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Chavara Darsan CMI Public School School: Chavara Darsan CMI Public School
City: ERNAKULAM City: ERNAKULAM
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: KUNIYANTHODATH HOUSE, MADAPLATHURUTH, MOOTHAKUNNAM .P.O
  Pin: 683516
  Contact Nos: 08113063196
  Email: chrisbennychris@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
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 am planning to improve my swimming skills and maintain physical fitness
Why do you wish to join TMI?: good facility and placement
What are your hobbies?: Cycling, Swimming, Photography
What are your strengths?: Drawing
What are your weaknesses?: Scared of snakes
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
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