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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Arjun P M
Mother's Name: Anisha V C
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Dec 2003 Nationality: Indian
Place of Birth: Thrissur Personal Identification Mark: Black mole on left hand thumb
Blood Group: B + Address for Communication: ARJUN P M PARLIKKAD HOUSE P.O THAIKKATTUSSERY THRISSUR KERALA PIN Code 680306 ARJUN P M PARLIKKAD HOUSE P.O THAIKKATTUSSERY THRISSUR KERALA PIN Code 680306
State: Kerala Country: India
Pin: 680306 City/District: Thrissur
Mobile no: 8590854992 Telephone No. with STD code:
Aadhar Card No:234612775097 E-mail: arjunpm011@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manoj P C Relationship with candidate: Father
Parents Date of Birth: 06 Dec 1974 Parent's/Guardian's Occupation/Designation: Gold work
   
Office Address:
   
Address: MANOJ P C PARLIKKAD HOUSE P.O THAIKKATTUSSERY THRISSUR KERALA PIN Code 680306 MANOJ P C PARLIKKAD HOUSE P.O THAIKKATTUSSERY THRISSUR KERALA PIN Code 680306
Country: India State: Kerala
City/District: Thrissur Pin: 680306
Tel: Mobile no.: 9947040534
Fax: Email: manojpc745@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: S.T JOSEPH MODEL HIGHER SECONDARY SCHOOL School: VIVEKODAYAM BOYS HIGHER SECONDARY SCHOOL
City: Thrissur City: Thrissur
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Centre code:
  Address of School/College: Naikkanal Thrissur kerala PIN Code 680001
  Pin: 680001
  Contact Nos: 04872320039
  Email: vivekodayamedu@rediffmail.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 ?: I like to spend time with my family members
Why do you wish to join TMI?: Because of better education and training.
What are your hobbies?: I like to play football.
What are your strengths?: My willpower. And my very supportive family
What are your weaknesses?: A little bit of shy
How do you intend to meet the expenses of this program?: Own Resources
 
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 ________________

 
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