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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Aadil Jaseem E S
Mother's Name: Rubeena Shamsu
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: Indian
Place of Birth: Kerala Personal Identification Mark: Black mole on left cheek
Blood Group: A + Address for Communication: India Wayanad,Kerala,India
State: Kerala Country: India
Pin: 670731 City/District: Wayanad
Mobile no: 7306164977 Telephone No. with STD code:
Aadhar Card No:596698540680 E-mail: aadiladhi3@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shamsudheen Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Tailor
   
Office Address:
   
Address: Elamkulam,Thettamala Wayanad,Kerala,India
Country: India State: Kerala
City/District: Wayanad Pin: 670731
Tel: Mobile no.: 7306164977
Fax: Email: aadiladhi3@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: ST JOSEPHS H S S KALLODY School: ST JOSEPHS HSS KALLODY
City: Mananthavady City: Mananthavady
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: St Josephs HSS,KALLODY, edavaka,Kerala,Wayanad,india
  Pin: 670645
  Contact Nos: 07306164977
  Email: aadiladhi3@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 ?: Its lockdown here and I spend spend most of the time with famiy
Why do you wish to join TMI?: I would like to have a better career so I wish to be there for my higher studies
What are your hobbies?: Singing songs, listening music,reading stories
What are your strengths?: Flexibility and Adaptability, Quick learner,Stress tolerance,Critical thinking Decision making skills
What are your weaknesses?: Being too honest,I focus too much on the details, I have trouble asking for help.
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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 ________________

 
Print Summary and Application Form