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: DNS2180715
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: LIKHITH GOPINATH
Mother's Name: PREETHA T T
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jun 2000 Nationality: INDIAN
Place of Birth: ALUVA Personal Identification Mark: A WOUND SCAR ON THE UPPER LIP
Blood Group: O + Address for Communication: NJALIPARAMBIL HOUSE POOMALA POST MANICHIRA , SULTHAN BATHERY
State: Kerala Country: India
Pin: 673592 City/District: WAYANAD
Mobile no: 7025214311 Telephone No. with STD code:
Aadhar Card No: E-mail: likhithgopinath10@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: GOPINATH T K Relationship with candidate: FATHER
Parents Date of Birth: 12 Apr 1966 Parent's/Guardian's Occupation/Designation: AGRICULTURE
   
Office Address:
   
Address: NJALIPARAMBIL HOUSE POOMALA POST MANICHIRA , SULTHAN BATHERY
Country: India State: Kerala
City/District: WAYANAD Pin: 673592
Tel: Mobile no.: 7559073393
Fax: Email: gopitk9847@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Kerala Board: Kerala
School: ASSUMPTION H S BATHERY School: GHSS MOOLANKAVE
City: WAYANAD City: WAYANAD
English %: 93 Board Roll No./Seat No.: 5401824
Aggregate Percentage: 93 School/College Code: 12030
  Centre code: 12030
  Address of School/College: GHSS MOOLANKAVE,MOOLANKAVU POST,S BATHERY
  Pin: 673592
  Contact Nos: 07559073393
  Email: MOOLANKAVEGHSS@GMAIL.COM
  Aggregate Percentage: 94
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 184 92
Chemistry 200 194 97
Mathematics 200 192 96
Physics, Chemistry & Mathematics combined Percentage: 95
English 100 90 90
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
03/2021 BSC PHYSICS 3 YEARS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I JOINED FOR BSC PHYSICS COURSE
Why do you wish to join TMI?: I LIKE TO STUDY IN TMI
What are your hobbies?: READING,WATCHING TV,VIDEO GAMES
What are your strengths?: DEDICATED,ADVENTUROUS,AMBITIOUS,FOCUSED
What are your weaknesses?: SHY,EMOTIONS
How do you intend to meet the expenses of this program?: 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 ________________

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