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: DNS2180917 Name: Bharath s menon
  Address: Vrindhavanam, kenetinkara, kulappuly, shoranur - 2,palakkad dist. Vrindhavanam, kenetinkara, kulappuly, shoranur - 2,palakkad dist.
Telephone No.: +919995969419 Mobile no: 9995969419
E-mail: bharathsmenon8@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2180917 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: DNS2180917
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Bharath s menon
Mother's Name: Biji s menon
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 May 2003 Nationality: INDIA
Place of Birth: Pattambi Personal Identification Mark: Black mole on right hand
Blood Group: O - Address for Communication: Vrindhavanam, kenetinkara, kulappuly, shoranur - 2,palakkad dist. Vrindhavanam, kenetinkara, kulappuly, shoranur - 2,palakkad dist.
State: Kerala Country: India
Pin: 679122 City/District: Palakkad
Mobile no: 9995969419 Telephone No. with STD code: +919995969419
Aadhar Card No:684188866168 E-mail: bharathsmenon8@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sumesh k menon Relationship with candidate: Son
Parents Date of Birth: 07 Sep 1973 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: centre for studies and guidance, pattambi Cindrella beauty parlour, shoranur
Country: India State: Kerala
City/District: Palakkad Pin: 679122
Tel: 09995969419 Mobile no.: 9495322719
Fax: Email: bharathsmenon8@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: Carmel cmi school School: TRK HSS
City: Palakkad City: Palakkad
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: TRK HSS, vaniyamkulam, palakkad
  Pin: 679522
  Contact Nos: 09995969419
  Email: bharathsmenon8@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 ?: Preparing for entrance exams
Why do you wish to join TMI?: Have heard a lot good about this college.
What are your hobbies?: Reading books, listening music
What are your strengths?: Playing organ, drums and positive minded
What are your weaknesses?: Too honest
How do you intend to meet the expenses of this program?: 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 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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