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.Tech. Marine Engineering
Dossier ID: DEG21101599
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GLYDA PAIVA
Mother's Name: SERINA REBELLO
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jun 2003 Nationality: INDIAN
Place of Birth: KERALA Personal Identification Mark: BLACK MOLE IN RIGHT HAND
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 24 Jun 2003 Nationality: INDIAN
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: SERENE, MRA 134 MOOLEPARAMBU LANE, AMRITA HOSPITAL ROAD KUNNUMPURAM,EDAPPALLY NORTH
State: Kerala Country: India
Pin: 682041 City/District: ERNAKULAM
Mobile no: 9446748024 Telephone No. with STD code:
Aadhar Card No:629976351012 E-mail: glydapaiva@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JUFRIN PAIVA Relationship with candidate: FATHER
Parents Date of Birth: 17 Nov 1967 Parent's/Guardian's Occupation/Designation: ASSISTANT ENGINEER,KSEB
   
Office Address:
   
Address: SERENE, MRA 134 MOOLEPARAMBU LANE, AMRITA HOSPITAL ROAD KUNNUMPURAM,EDAPPALLY NORTH
Country: India State: Kerala
City/District: ERNAKULAM Pin: 682041
Tel: Mobile no.: 9567129624
Fax: Email: jufrinpaiva@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: AL AMEEN PUBLIC SCHOOL School: SACRED HEART HSS
City: ERNAKULAM City: ERNAKULAM
English %: 94 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: SACRED HEART HSS, Pandit Karuppan Rd, Thevara, Kochi, Kerala 682013
  Centre code:
  Pin: 682041
  Contact Nos:
  Email: glydapaiva@gmail.com
  Aggregate Percentage: 93
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 165 82.5
Chemistry 200 200 100
Mathematics 200 188 94
Physics, Chemistry & Mathematics combined Percentage: 92.17
English 100 93 93
   
IMU CET Application Number: CET21U1008418  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for various entrance exams. I intent to spend time in improving vocalubary and communication skills.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I am passionate about ships. I like to know more about ships and its navigation. I am interested in adventure and travelling. The degree in nautical science will help me to chase my dreams and passion.
Why do you wish to join TMI?: I wish to join TMI because of its fame, academic results and good placement. TMI also has good infrastructure.
What are your hobbies?: Dancing , watching movies
What are your strengths?: Leadership quality, problem solving skill, focused towards the activity I do
What are your weaknesses?: Sometimes I let my emotions affect me.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet
 
Declaration

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

Signature of Candidate

 

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Date ________________