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: DNS2050093 Name: ASHMITH C
  Address: SANTHOSH BHAVAN THOTTADA THOTTADA PO
Telephone No.: Mobile no: 8281746149
E-mail: ashmithc17@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: 305159233
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050093 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: DNS2050093
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ASHMITH C
Mother's Name: DEEPA A
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Nov 2002 Nationality: INDIAN
Place of Birth: KANNUR Personal Identification Mark: A SCAR NEAR THE RIGHT EYE BROW
Blood Group: O + Address for Communication: SANTHOSH BHAVAN THOTTADA THOTTADA PO
State: Kerala Country: India
Pin: 670007 City/District: KANNUR
Mobile no: 8281746149 Telephone No. with STD code:
Aadhar Card No:956973229606 E-mail: ashmithc17@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: VINODAN C Relationship with candidate: FATHER
Parents Date of Birth: 25 May 1963 Parent's/Guardian's Occupation/Designation: HOTEL WORKER
   
Office Address:
   
Address: EXPRESS FOOD HOTEL BURKA SULTANATE OF OMAN
Country: India State: Kerala
City/District: KANNUR Pin: 670007
Tel: Mobile no.: 9446668461
Fax: Email: ashmithsou18@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Kerala Board: Kerala
School: KADAMBUR HSS EDAKKAD School: GOVT BRENNEN HSS THALASSERY
City: EDAKKAD KANNUR City: THALASSERY
English %: 95 Board Roll No./Seat No.: 7392681
Aggregate Percentage: 95 School/College Code: 13003
  Centre code: 13003
  Address of School/College: GOVT BRENNEN HSS THALASSERY,
  Pin: 670101
  Contact Nos:
  Email: principalgbhsstly@gmail.com
  Aggregate Percentage: 88
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 169 84.5
Chemistry 200 162 81
Mathematics 200 151 75.5
Physics, Chemistry & Mathematics combined Percentage: 80.33
English 100 90 90
   
IMU CET Application Number: CET20U87545  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepare for IMU CET and sponsorship exams
Why do you wish to join TMI?: It is one of the best maritime training institute in India
What are your hobbies?: reading
What are your strengths?: Confident and hard working
What are your weaknesses?: feel depressed if work is not done at right time
How do you intend to meet the expenses of this program?: Bank Loan
 
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