Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science 2021)


Application Summary:
 
Course Enrolled (First Choice): B.Sc. Nautical Science Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG7068560 Name: HARIKRISHNAN R
  Address: TC 10/347 GOKULAM ABHAYA NAGAR PEROORKADA P O
Telephone No.: 0471 Mobile no: 8281072813
E-mail: harikrishnanperoorkada@gmail.com  
   
Application fee payment details:  
Payment Status: Offline 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 DEG7068560 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
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG7068560
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HARIKRISHNAN R
Mother's Name: MANJU S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Apr 2003 Nationality: INDIAN
Place of Birth: TRIVANDRUM Personal Identification Mark: A BLACK MOLE ON THE RIGHT SIDE OF THE NECK
Blood Group: B -  
 
Date of Birth (DD/MM/YY): 11 Apr 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
 
Address for Communication: TC 10/347 GOKULAM ABHAYA NAGAR PEROORKADA P O
State: Kerala Country: India
Pin: 695005 City/District: TRIVANDRUM
Mobile no: 8281072813 Telephone No. with STD code: 0471
Aadhar Card No:796454580473 E-mail: harikrishnanperoorkada@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RENJITH KUMAR J Relationship with candidate: FATHER
Parents Date of Birth: 01 May 1976 Parent's/Guardian's Occupation/Designation: PRIVATE
   
Office Address:
   
Address: JAYAMATHA OFFSET PRESS MARIVANIOS COLLEGE CAMPUS NALANCHIRA P O TRIVANDRUM
Country: India State: Kerala
City/District: TRIVANDRUM Pin: 695015
Tel: Mobile no.: 8281338134
Fax: Email: renjithkumargokulam@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: CHRIST NAGAR KOWDIAR School: SMHSS PATTOM
City: TRIVANDRUM City: TRIVANDRUM
English %: 98 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: PATTOM TRIVANDRUM 695004
  Centre code:
  Pin: 696952
  Contact Nos:
  Email: pattomstmarys@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 ?: NO
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: INTERESTED
What are your hobbies?: READING , INSTRUMENTATION FOR TABALA
What are your strengths?: JOIN SHIP
What are your weaknesses?: SHIP IS MY WEAKNESS
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded Class X marksheet School leaving certificate 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

 

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Date ________________

 
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