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: DNS2181413 Name: ANOOPKRISHNA S
  Address: Kailasam, kalluvettankuzhi, koppam, vithura .p.o Kailasam, kalluvettankuzhi, koppam, vithura .p.o Kailasam, kalluvettankuzhi, koppam, vithura .p.o
Telephone No.: Mobile no: 7736752407
E-mail: anoopkrishnas03@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432308426
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2181413 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2181413
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANOOPKRISHNA S
Mother's Name: SANDHYA S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 May 2003 Nationality: INDIAN
Place of Birth: NEDUMANGAD Personal Identification Mark: A black mole near upper lip
Blood Group: B + Address for Communication: Kailasam, kalluvettankuzhi, koppam, vithura .p.o Kailasam, kalluvettankuzhi, koppam, vithura .p.o Kailasam, kalluvettankuzhi, koppam, vithura .p.o
State: Kerala Country: India
Pin: 695551 City/District: Thiruvananthapuram
Mobile no: 7736752407 Telephone No. with STD code:
Aadhar Card No:887698368858 E-mail: anoopkrishnas03@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sajeev kumar k Relationship with candidate: Father
Parents Date of Birth: 10 Sep 1971 Parent's/Guardian's Occupation/Designation: Driver
   
Office Address:
   
Address: Koppam Koppam
Country: India State: Kerala
City/District: Thiruvananthapuram Pin: 695551
Tel: Mobile no.: 9495037663
Fax: Email: anoopkrishnas03@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Govt. Vocational higher secondary school vithura School: Govt. Vocational higher secondary school vithura
City: Thiruvananthapuram City: Thiruvananthapuram
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: Govt. Vocational higher secondary school vithura
  Pin: 695551
  Contact Nos:
  Email: anoopkrishnas03@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
03/2019 Student police From 8th to 10th standard Cadet
08/2019 NSS Xll Cadet
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I was looking for DNS course and other see training course by means of my friends, internet , newspaper etc.
Why do you wish to join TMI?: I have gone through the achievements made by TMI and I am interested in your placements, proper SOP systems made by your college upto my knowledge .
What are your hobbies?: Fishing, cricketing
What are your strengths?: Negative comments
What are your weaknesses?: Emotional sentiments
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 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 ________________

 
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