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: DNS2182053 Name: BOOSHAN R
  Address: 162,2/2 ELLAIAMMAN KOIL STREET MYLAPORE , CHENNAI
Telephone No.: 09840917225 Mobile no: 9840917225
E-mail: raji2020chennai@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432920657
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2182053 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: DNS2182053
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BOOSHAN R
Mother's Name: RAJALAKSHMI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Oct 2003 Nationality: INDIAN
Place of Birth: CHENNAI Personal Identification Mark: SCAR ON LEFT SHOULDER
Blood Group: B + Address for Communication: 162,2/2 ELLAIAMMAN KOIL STREET MYLAPORE , CHENNAI
State: Tamil Nadu Country: India
Pin: 600004 City/District: CHENNAI
Mobile no: 9840917225 Telephone No. with STD code: 09840917225
Aadhar Card No:494134972488 E-mail: raji2020chennai@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAMANAN D Relationship with candidate: FATHER
Parents Date of Birth: 02 Jun 1975 Parent's/Guardian's Occupation/Designation: FISHERMAN
   
Office Address:
   
Address: 162, ELLAIAMMAN KOIL STREET MYLAPORE, CHENNAI
Country: India State: Tamil Nadu
City/District: CHENNAI Pin: 600004
Tel: Mobile no.: 9840917225
Fax: Email: raji2020chennai@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SRI CHAITANYA TECHNO SCHOOL School: ST.BEDES ACADEMY SENIOR SECONDARY SCHOOL
City: CHENNAI City: CHENNAI
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: 37, SANTHOME HIGH ROAD,CHENNAI
  Pin: 600004
  Contact Nos: 24660155
  Email: stbedesacademy2014@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
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
10/2018 volleyball INTERSCHOOL 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PART TIME JOBS , EXERCISES, APPLYING FOR VARIOUS COLLEGES
Why do you wish to join TMI?: BEST COLLEGE , MODERATE FEES, SPONCERSHIP POLICY , REFFERED BY RELATIVES
What are your hobbies?: WATCHING MARINE RELATED VIDEOS
What are your strengths?: VERY RESPONSIBLE,EASY GRASPING, BROAD MINDED , ALWAYS SMILING
What are your weaknesses?: HANDWRITING
How do you intend to meet the expenses of this program?: Own Resources
 
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 ________________

 
Print Summary and Application Form