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: DNS2178861 Name: Harshith Kumar M
  Address: 27/03 ,Vaddarahalli, Hadonahalli post Doddaballapur taluk, Bengaluru rural district
Telephone No.: Mobile no: 7406001046
E-mail: harshithkumar6m@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 429857797
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2178861 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2178861
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Harshith Kumar M
Mother's Name: Mamatha B C
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Jun 2003 Nationality: India
Place of Birth: Bengaluru Personal Identification Mark: Small Scar on neck
Blood Group: B - Address for Communication: 27/03 ,Vaddarahalli, Hadonahalli post Doddaballapur taluk, Bengaluru rural district
State: Karnataka Country: India
Pin: 561205 City/District: Bengaluru rural
Mobile no: 7406001046 Telephone No. with STD code:
Aadhar Card No:307734496970 E-mail: harshithkumar6m@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Munianjinappa V T Relationship with candidate: Father
Parents Date of Birth: 11 Sep 1969 Parent's/Guardian's Occupation/Designation: Agriculture
   
Office Address:
   
Address: 27/03 , Vaddarahalli, Hadonahalli post Doddaballapur taluk Bengaluru rural district
Country: India State: Karnataka
City/District: Bengaluru rural Pin: 561205
Tel: Mobile no.: 7619437736
Fax: Email: harshithkumarm6@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Jawahar Navodaya Vidyalaya Bengaluru rural School: Jawahar Navodaya Vidyalaya Bengaluru rural
City: Bengaluru rural City: Bengaluru rural
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: Jawahar Navodaya Vidyalaya, Bashettihalli, Doddaballapur taluk , Bengaluru rural district, Karnataka
  Pin: 561203
  Contact Nos:
  Email: jnvbangalorerural@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2016 Kabbaddi Football Khokho Relay School level Winners
11/2017 Singing School level Runner
11/2018 Kabbaddi football School level Winners
08/2019 Kabbaddi Regional level NVS Hyderabad region Runner
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2018 Class 10 1 month
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Gym fitness, swimming,study,spoken English classes
Why do you wish to join TMI?: This reputed institution train me as better deck cadet and to become a deciplined officer and also provides good companies for sponsorship which I can serve my best and secure my future
What are your hobbies?: Playing sports and games, listening songs, reading, riding, watching movies etc
What are your strengths?: Hard working,self confident, self motivated, patience, leadership , responsiblity etc
What are your weaknesses?: Fear of failure which I can overcome
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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 ________________

 
Print Summary and Application Form