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 2021)


Application Summary:
 
Course Enrolled (First Choice): B.Tech. Marine Engineering Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2179164 Name: BRYAN PHILIP XAVIER
  Address: Thoppil Nagar, No 4, Muttada PO, Thiruvananthapuram Thoppil Nagar, No 4, Muttada PO , Thiruvananthapuram
Telephone No.: 08137098124 Mobile no: 9446385233
E-mail: nirmalaxavier@time4education.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 430173708
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2179164 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

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
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2179164
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BRYAN PHILIP XAVIER
Mother's Name: NIRMALA PHILIP
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Dec 2002 Nationality: INDIAN
Place of Birth: ADOOR Personal Identification Mark: Birth mark on forehead
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 31 Dec 2002 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: Thoppil Nagar, No 4, Muttada PO, Thiruvananthapuram Thoppil Nagar, No 4, Muttada PO , Thiruvananthapuram
State: Kerala Country: India
Pin: 695025 City/District: Thiruvananthapuram
Mobile no: 9446385233 Telephone No. with STD code: 08137098124
Aadhar Card No:644282003896 E-mail: nirmalaxavier@time4education.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JOSEPH XAVIER Relationship with candidate: FATHER
Parents Date of Birth: 24 Oct 1970 Parent's/Guardian's Occupation/Designation: OPHTHALMOLOGIST
   
Office Address:
   
Address: Archana Building, 3rd FLOOR, General Hospital Rd, Statue, Thiruvananthapuram, Kerala 695001 Archana Building, 3rd FLOOR, General Hospital Rd, Statue, Thiruvananthapuram, Kerala 695001
Country: India State: Kerala
City/District: Thiruvananthapuram Pin: 695001
Tel: 08137098124 Mobile no.: 9446385233
Fax: Email: nirmalaxavier@time4education.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: NAVAJEEVAN BETHANY VIDYALAYA School: NAVAJEEVAN BETHANY VIDYALAYA
City: Thiruvananthapuram City: THIRUVANANTHAPURAM
English %: 83 Board Roll No./Seat No.: 24600368
Aggregate Percentage: 80 School/College Code: 75594
  Address of School/College: NAVAJEEVAN BETHANY VIDYALAYA ,Trivandrum - Kilimanoor Rd, Nalanchira, Thiruvananthapuram, Kerala 695015
  Centre code: 75594
  Pin: 695015
  Contact Nos: 09446385233
  Email: nirmalaxavier@time4education.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 70 70
Chemistry 100 74 74
Mathematics 100 60 60
Physics, Chemistry & Mathematics combined Percentage: 68
English 100 86 86
   
IMU CET Application Number: DEG2179164  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2014 ROLLER SKATING INTER SCHOOL FIRST
11/2014 ROLLER SKATING INTER SCHOOL FIRST
01/2015 ROLLER SAKTING INTER SCHOOL FIRST
09/2018 ATHLETICS INTRA SCHOOL FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am planning to go for swimming and concentrate on fitness.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I was always fascinated with sailing and ships. I would like to travel a lot.
Why do you wish to join TMI?: Tolani Maritime Institute is one of the largest maritime educational centers offering MARINE ENGINEERING and NAUTICAL SCIENCE degree programs.
What are your hobbies?: listening to music ,watching movies, playing games
What are your strengths?: team work, good communication, flexible and able to take leadership.
What are your weaknesses?: public speaking, sensitive, trust everyone easily.
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
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
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