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 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049862 Name: NITHISH KUMAR B
  Address: No.8, Swamy Alagr Nagar A.Kosakulam Madurai-625017
Telephone No.: 0452-2643217 Mobile no: 9994409917
E-mail: valornithish@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 304674242
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049862 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 ensure that you send the following documents with your application.
  1. Write Application for Diploma in Nautical Science, Dossier ID on the envelope
  2. Print the application form duly filled
  3. Print the application summary duly signed where indicated
  4. Three identical recent passport size photographs with name & dossier id written at the back
  5. Self – attested copies of Class X marksheet and Pass Certificate
  6. Self – attested copies of Class XII marksheet and Pass Certificate (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  7. Self – attested copies of class XII marksheet downloaded from internet (Candidates appearing for Class XII exam in 2020 may submit these copies after declaration of results)
  8. Self – attested copies of school leaving certificate / transfer certificate (for proof of age)
  9. Self – attested copy of birth certificate (for proof of age and place of birth)
  10. Copies of sports and extra-curricular activities (Class VIII and above only)
  11. Copy of Class XII board exam admit card for those appearing in 2020
  12. A non-refundable Demand Draft of Rs. 200/- favouring “Tolani Maritime Institute” payable at Pune. Write your name, dossier id and contact details on the reverse of the Demand Draft (Kindly ignore if you have paid online)
  13. Please keep a copy of the form for your reference for communicating with the Institute

Send Duly filled application forms to:

Admissions Cell (DNS)
Tolani Maritime Institute
Talegaon-Chakan road, Induri,
Talegaon, Pune, Pin- 410507
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 - 2020

 
  Dossier ID: DNS2049862
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NITHISH KUMAR B
Mother's Name: Reena Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Nov 2002 Nationality: Indian
Place of Birth: Madurai Personal Identification Mark: A scar on the right Elbow
Blood Group: B + Address for Communication: No.8, Swamy Alagr Nagar A.Kosakulam Madurai-625017
State: Tamil Nadu Country: India
Pin: 625017 City/District: Madurai
Mobile no: 9994409917 Telephone No. with STD code: 0452-2643217
Aadhar Card No:525727352463 E-mail: valornithish@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Baskaran Thanikodi Relationship with candidate: Father
Parents Date of Birth: 07 May 1965 Parent's/Guardian's Occupation/Designation: Government Employee
   
Office Address:
   
Address: No.8 Swamy Alagar Nagar A.Kosakulam Madurai-625017
Country: India State: Tamil Nadu
City/District: Madurai Pin: 625017
Tel: Mobile no.: 9865014468
Fax: Email: baskaranthanikodi@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Tamil Nadu Board: Tamil Nadu
School: C.E.O.A. Matric. Hr.Sec.School School: C.E.O.A. Matric. Hr.Sec.School
City: Madurai City: Madurai
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code:
  Centre code:
  Address of School/College: C.E.O.A. Matric. Hr.Sec.School, A.Kosakulam, Madurai-625017
  Pin: 625017
  Contact Nos:
  Email: ceoaschools@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
07/2019 Throw Ball Zonal Level Winner
07/2018 Throw Ball Zonal Level Winner
07/2015 100m Dash School Level First Place
07/2015 200m Dash School Level Second Place
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for Various Entrance examinations and prepping for interviews, Joining Musical Classes and Learning Mixed Martial Arts, Reading a Novel
Why do you wish to join TMI?: To became a well trained Deck Cadet
What are your hobbies?: Literature, Music, sports,
What are your strengths?: Dedication and enthusiasm
What are your weaknesses?: Shyness
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 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