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: DNS2179369 Name: ANUGRAH THOMAS KUNJ K A
  Address: KADAVIPARAMBIL HOUSE MUNDAMVELI P.O. KOCHI
Telephone No.: Mobile no: 7012492585
E-mail: thomasappuatk11@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2179369 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: DNS2179369
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANUGRAH THOMAS KUNJ K A
Mother's Name: SHIBLET GEORGE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 May 2003 Nationality: INDIAN
Place of Birth: KOCHI Personal Identification Mark: BLACK MOLE on RIGHT THUMB
Blood Group: O + Address for Communication: KADAVIPARAMBIL HOUSE MUNDAMVELI P.O. KOCHI
State: Kerala Country: India
Pin: 682507 City/District: ERNAKULAM
Mobile no: 7012492585 Telephone No. with STD code:
Aadhar Card No:665128471172 E-mail: thomasappuatk11@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AMRUTH THOMAS Relationship with candidate: FATHER
Parents Date of Birth: 15 Mar 1972 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: KADAVIPARAMBIL MUNDAMVELI P.O. KOCHI
Country: India State: Kerala
City/District: ERNAKULAM Pin: 682507
Tel: Mobile no.: 9447291423
Fax: Email: jojankadaviparambil@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: SACRED HEART CMI PUBLIC SCHOOL School: ST SEBASTIANS HSS
City: THEVARA City: KOCHI
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code:
  Centre code:
  Address of School/College: ST SEBASTIANS HSS PALLURUTHY ERNAKULAM
  Pin: 682005
  Contact Nos:
  Email: stsebastianshss@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 HAVE IMPROVED MY SKILLS AND ALSO ENGAGED IN MANY HEALTH ACTIVITIES TO IMPROVE MY HEALTH AS WELL AS MY PERSONALITY
Why do you wish to join TMI?: I WOULD LIKE TO HAVE A GOOD CAREER WHICH IS EFFICIENTLY PROVIDED IN THIS PRESTIGIOUS INSTITUTION
What are your hobbies?: CYCLING, READING
What are your strengths?: MANAGEMENT SKILLS
What are your weaknesses?: CONCENTRATING ON A SINGLE TASK
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 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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