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: DEG2175888
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Cyril Thomas
Mother's Name: Sheeba A V
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Nov 2003 Nationality: Indian
Place of Birth: Ernakulam Personal Identification Mark: A stitch mark on the top of left eyebrow
Blood Group: A +  
Date of Birth (DD/MM/YY): 07 Nov 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: Melettukochiyil house thomaspuram Maradu P.O
State: Kerala Country: India
Pin: 682304 City/District: Ernakulam
Mobile no: 7736480824 Telephone No. with STD code:
Aadhar Card No:315974126264 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Thomas Mathew Relationship with candidate: Father
Parents Date of Birth: 31 May 1968 Parent's/Guardian's Occupation/Designation: Business
Office Address:
Address: Matha Water Service Irimpanam P.O
Country: India State: Kerala
City/District: Ernakulam Pin: 682309
Tel: Mobile no.: 8281602931
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: St. George H.S Poonithura School: Sacred Heart Hss Thevara
City: Ernakulam City: Ernakulam
English %: 100 Board Roll No./Seat No.:
Aggregate Percentage: 100 School/College Code:
  Address of School/College: Pandit Karuppan Road, Thevara, Kochi, Kerala
  Centre code:
  Pin: 682013
  Contact Nos:
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

Physics 200
Chemistry 200
Mathematics 200
Physics, Chemistry & Mathematics combined Percentage:
English 100
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
11/2017 web page designing district A grade
How do you intend spending your time after completing class XII Final exams and before joining college ?: Spending time to prepare for various entrance exam, playing with friends,reading books
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always love to work in ship
Why do you wish to join TMI?: I want to join TMI as it obviously the best institute in India or even Asia for Nautical science and also because I find myself a suitable candidate for this field
What are your hobbies?: playing volleyball ,football, swimming
What are your strengths?: leadership quality,determination, dedication,courage
What are your weaknesses?: patience, I sometimes lack confidence.
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 not uploaded Class XII marksheet not uploaded

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

Signature of Candidate



Date ________________