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: DNS2178812 Name: RAM SHANKAR A M
  Address: ADATTU HOUSE NAYARANGADI, KALLUR P O, THRISSUR, KERALA, PIN-680317
Telephone No.: Mobile no: 6282445490
E-mail: ramshankaradat10@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: 429737509
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178812 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: DNS2178812
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RAM SHANKAR A M
Mother's Name: JAYASREE MANOHARAN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Dec 2002 Nationality: INDIAN
Place of Birth: POTTA Personal Identification Mark: A BLACK MOLE ON THE RIGHT HAND
Blood Group: O + Address for Communication: ADATTU HOUSE NAYARANGADI, KALLUR P O, THRISSUR, KERALA, PIN-680317
State: Kerala Country: India
Pin: 680317 City/District: THRISSUR
Mobile no: 6282445490 Telephone No. with STD code:
Aadhar Card No:355261235820 E-mail: ramshankaradat10@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MANOHARAN V Relationship with candidate: FATHER
Parents Date of Birth: 30 May 1967 Parent's/Guardian's Occupation/Designation: PLUMBER
   
Office Address:
   
Address: ADATTU HOUSE NAYARANGADI, KALLUR P O, THRISSUR, PIN-680317
Country: India State: Kerala
City/District: THRISSUR Pin: 680317
Tel: Mobile no.: 8943319771
Fax: Email: harrystrissur@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: GURUDEVA PUBLIC SCHOOL VARAKKARA School: DEEPTHI HSS THALORE
City: THRISSUR City: THRISSUR
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Centre code:
  Address of School/College: DEEPTHI HSS THALORE THALORE P O THRISSUR KERALA
  Pin: 680306
  Contact Nos:
  Email: deepthihssthalore@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 HAD SPEND MY TIME BY PREPARING FOR THE COLLEGE SPONSERSHIP TEXT AND IMUCET ENTRANCE EXAM
Why do you wish to join TMI?: BECAUSE TMI IS THE BEST MARITIME COLLEGE SITUATED IN INDIA WHICH GOOD PLACEMENT RECORDS
What are your hobbies?: PLAYING FOOTBALL
What are your strengths?: GOOD LEADERSHIP QUALITY AND GOOD IN STUDIES
What are your weaknesses?: I WILL NOT GET ANY SATISFACTION UNTIL I COMPLETE THE TASK
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

 

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Date ________________

 
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