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: DNS2180661
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Pranay Manoj
Mother's Name: Kavitha Manoj
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jun 2003 Nationality: INDIAN
Place of Birth: Dakshina ka Personal Identification Mark: Black mark near left eye
Blood Group: O + Address for Communication: karumathil house p.o elavally parakkad
State: Kerala Country: India
Pin: 680511 City/District: thrissur
Mobile no: 9946609311 Telephone No. with STD code: 09946609311
Aadhar Card No: E-mail: pranaymanukrishna@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: manoj Relationship with candidate: father
Parents Date of Birth: 17 Sep 1973 Parent's/Guardian's Occupation/Designation: engineer
   
Office Address:
   
Address: karumathil house p.o elavally parakkad
Country: India State: Kerala
City/District: thrissur Pin: 680511
Tel: 09946609311 Mobile no.: 9745081822
Fax: Email: pranaymanukrishna@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: VIDYA VIHAR CENTRAL SCHOOL School: ST JOHNS BETHANY HSS
City: thrissur City: thrissur
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Centre code:
  Address of School/College: karumathil HOUSE p.o elavally parakkad thrissur
  Pin: 680511
  Contact Nos: 09946609311
  Email: pranaymanukrishna@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 ?: helping parents in household works and experiment in cooking
Why do you wish to join TMI?: It is the place where i can show my true potential
What are your hobbies?: playing cricket ,football
What are your strengths?: i can gain confidence at tough situation
What are your weaknesses?: short tempered
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan,Other - seek help from relatives
 
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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.