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


Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG21101387
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Agnes John
Mother's Name: Lekha T
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Mar 1999 Nationality: India
Place of Birth: Payyanur Personal Identification Mark: A black mole on the left little finger A black mole on the right hand wrist
Blood Group: O +  
Date of Birth (DD/MM/YY): 13 Mar 1999 Nationality: India
Gender (M/F): Female 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: Mullakkal house Thaikkattukara PO Aluv
State: Kerala Country: India
Pin: 683106 City/District: Ernakulam
Mobile no: 9645723846 Telephone No. with STD code:
Aadhar Card No:833718038668 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: John Augustine Relationship with candidate: Father
Parents Date of Birth: 24 Oct 1971 Parent's/Guardian's Occupation/Designation: Coolie
Office Address:
Address: Mullakkal house Muringoor Chalakudy
Country: India State: Kerala
City/District: Thrissur Pin: 680309
Tel: Mobile no.: 7034083489
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: Kerala Board: Kerala
School: St Francis HSS School: St Francis HSS
City: Aluva City: Aluva
English %: 100 Board Roll No./Seat No.: 4167451
Aggregate Percentage: 98 School/College Code:
  Address of School/College: Bridge Ed, periyar Agar, Aluva PO, Aluva, Ernakulam
  Centre code:
  Pin: 683101
  Contact Nos:
  Aggregate Percentage: 93
Details of Marks Secured in (10+2) Examination -

Physics 200 181 90.5
Chemistry 200 186 93
Mathematics 200 177 88.5
Physics, Chemistry & Mathematics combined Percentage: 90.67
English 100 92 92
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am a BSc mathematics graduate and now I am pursuing MSc mathematics from the Mathematics department of University of Calicut, Kerala
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have been searching for a job that is good for me for long time. Even though I am doing my MSc I knew that it is not what I am wanting to do . I choose to have a degree in Nautical Science since I like to work in ships at seas. Also I like the course and the job following the completion of the course. So I am sure that I will do my best in this course and I will always improve my abilities to be a accomplished graduate.
Why do you wish to join TMI?: I wish to join TMI because it is one of the best marine institutions in India. Also the course at Tolini makes you confident about your studies. It also provide various companies sponsorships and many companies are giving placements to Tolini Institute students. I believe that it is a prestige to study at TMI.
What are your hobbies?: Writing, Dancing and Drawing
What are your strengths?: If I want to acquire something or if I like to do something I will work hard, I have great interpersonal skills, I have a great concentration, I have good leadership qualities ,I can read the emotions of the other persons and react accordingly
What are your weaknesses?: I am not good at fun talks, I am very much perfectionist
How do you intend to meet the expenses of this program?: Bank Loan,Other - If any scholarships are available that would be a great help for me.
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded

I hereby declare that all the statements made above are true and correct.

Signature of Candidate



Date ________________