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: DNS2179410
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HANAN ABDULLA P S
Mother's Name: UMMU SALMA K
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Jul 2003 Nationality: INDIAN
Place of Birth: EDAKKARA Personal Identification Mark: A WOUND SCAR ON THE RIGHT KNEE
Blood Group: O + Address for Communication: Koorippara,Verumpulakkal, Kadannamanna PO ,679324, Malappuram, Kerala Koorippara,Verumpulakkal, Kadannamanna PO ,679324, Malappuram, Kerala Koorippara,Verumpulakkal, Kadannamanna PO ,679324, Malappuram, Kerala
State: Kerala Country: India
Pin: 679324 City/District: Malappuram
Mobile no: 7012296389 Telephone No. with STD code:
Aadhar Card No:370879423467 E-mail: abdullahanan2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Siddeequl Akbar Relationship with candidate: Father
Parents Date of Birth: 02 Dec 1962 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Koorippara,Verumpulakkal, Kadannamanna PO ,679324, Malappuram, Kerala Koorippara,Verumpulakkal, Kadannamanna PO ,679324, Malappuram, Kerala Koorippara,Verumpulakkal, Kadannamanna PO ,679324, Malappuram, Kerala
Country: India State: Kerala
City/District: Malappuram Pin: 679324
Tel: Mobile no.: 7558844640
Fax: Email: hananvpl66@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: G.H.S.S MANKADA School: G.H.S.S MANKADA
City: Malappuram City: Malappuram
English %: 100 Board Roll No./Seat No.:
Aggregate Percentage: 100 School/College Code:
  Centre code:
  Address of School/College: Near glps Mankada,Mankada,Malappuram, Kerala
  Pin: 679324
  Contact Nos:
  Email: ghssmankada11024@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 ?: To strengthen my communication skills
Why do you wish to join TMI?: I want to join TMI for good placement
What are your hobbies?: Travelling , football
What are your strengths?: Patience, Respectfullness
What are your weaknesses?: Iam very soft nature
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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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