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: DNS2180412 Name: ATHUL KRISHNA B
  Address: ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524. ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524. ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524.
Telephone No.: Mobile no: 8281311903
E-mail: minnabiju@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 431394950
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2180412 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: DNS2180412
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ATHUL KRISHNA B
Mother's Name: BINUMOL B
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Aug 2003 Nationality: INDIAN
Place of Birth: EDAPPALLY Personal Identification Mark: A MOLE ON THE RIGHT INDEX FINGER
Blood Group: A + Address for Communication: ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524. ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524. ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524.
State: Kerala Country: India
Pin: 688524 City/District: ALAPPUZHA
Mobile no: 8281311903 Telephone No. with STD code:
Aadhar Card No:392852199173 E-mail: minnabiju@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BIJUMON R Relationship with candidate: FATHER
Parents Date of Birth: 19 Apr 1973 Parent's/Guardian's Occupation/Designation: EX-service
   
Office Address:
   
Address: ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524. ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524. ATHULYA NIVAS CMC-1, CHERTHALA, ALAPPUZHA, KERALA. PIN-688524.
Country: India State: Kerala
City/District: ALAPPUZHA Pin: 688524
Tel: Mobile no.: 8281311903
Fax: Email: minnabiju@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: V R V M GOVT. HSS VAYALAR School: V R V M GOVT. HSS VAYALAR
City: ALAPPUZHA City: ALAPPUZHA
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Centre code:
  Address of School/College: V R V M GOVT. HSS VAYALAR PO CHERTHALA ALAPPUZHA KERALA PIN-688536
  Pin: 688536
  Contact Nos: 04782594413
  Email: vrvmghss@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 ?: seeking about merchant navy and DNS course.
Why do you wish to join TMI?: Because TMI is the best maritime academy in India.
What are your hobbies?: Photography and editing
What are your strengths?: leadership
What are your weaknesses?: cheating
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

 

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Date ________________

 
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