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: Irfan Adil Abdul Manaf
Mother's Name: Babitha Manaf
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Jul 2003 Nationality: Indian
Place of Birth: Alappuzha Personal Identification Mark: Black dot on upper hand
Blood Group: A + Address for Communication: Mla road palluruthy 20/769 B1
State: Kerala Country: India
Pin: 682006 City/District: Kochi
Mobile no: 7356401676 Telephone No. with STD code: 07356401676
Aadhar Card No:869469675562 E-mail: irfanadil225@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Abdul Manaf Y Relationship with candidate: Father
Parents Date of Birth: 07 Mar 1976 Parent's/Guardian's Occupation/Designation: Kerala police department
   
Office Address:
   
Address: Mla road palluruthy 20/769
Country: India State: Kerala
City/District: Kochi Pin: 682002
Tel: 09497932625 Mobile no.: 9847357339
Fax: Email: irfanadil225@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KV INS DRONACHARYA School: KV INS DRONACHARYA
City: Kochi City: Kochi
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Centre code:
  Address of School/College: Mla road palluruthy 20/769
  Pin: 682006
  Contact Nos: 07356401676
  Email: irfanadil225@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to do some courses that would actually help my career in my future
Why do you wish to join TMI?: I would like to join TMI as it provides us a vast opportunity of placement ship and as well as its surrounding and ethnic beauty of nature
What are your hobbies?: Reading, cycling etc
What are your strengths?: Courage to undertake any situation
What are your weaknesses?: Over trusting anybody
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 ________________

 
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