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.Sc. Nautical Science Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2180462 Name: Glen Jude PG
  Address: Puthenpurackal house KP 11/778 SNRA D-3 Near FCI kazhakuttom Puthenpurackal House KP 11/778 SNRA D-3 Near FCI Kazhakuttom
Telephone No.: +919188644677 Mobile no: 9188644677
E-mail: glenjude2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 440125015
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2180462 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 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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2180462
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Glen Jude PG
Mother's Name: Fatima Xavier
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Nov 2003 Nationality: India
Place of Birth: Kochi Personal Identification Mark: Scar on left forehead
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 20 Nov 2003 Nationality: India
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: Puthenpurackal house KP 11/778 SNRA D-3 Near FCI kazhakuttom Puthenpurackal House KP 11/778 SNRA D-3 Near FCI Kazhakuttom
State: Kerala Country: India
Pin: 695582 City/District: Thiruvananthapuram
Mobile no: 9188644677 Telephone No. with STD code: +919188644677
Aadhar Card No:458068355789 E-mail: glenjude2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Gilbert PV Relationship with candidate: Father
Parents Date of Birth: 25 Mar 1970 Parent's/Guardian's Occupation/Designation: Central Government Employee
   
Office Address:
   
Address: CMSE/ABSG/APPD/VSSC/ISRO Vattiyoorkavu CMSE/ABSG/APPD/VSSC/ISRO Vattiyoorkavu
Country: India State: Kerala
City/District: Thiruvananthapuram Pin: 695013
Tel: Mobile no.: 8281816767
Fax: Email: gilbertvssc@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: VSSC CENTRAL SCHOOL School: VSSC CENTRAL SCHOOL
City: Thiruvananthapuram City: Thiruvananthapuram
English %: 90 Board Roll No./Seat No.: 24605637
Aggregate Percentage: 89 School/College Code: 79001
  Address of School/College: VSSC CENTRAL SCHOOL
  Centre code:
  Pin: 695586
  Contact Nos:
  Email: school@vssc.gov.in
  Aggregate Percentage: 85
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 86 86
Mathematics 100 78 78
Physics, Chemistry & Mathematics combined Percentage: 82.33
English 100 95 95
   
IMU CET Application Number: CET21U1001272  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2019 CBSE Football Tournament State Level Third
12/2015 Theory of Music Grade 1 Distinction
06/2021 Acoustic Guitar Grade 1 Distinction
12/2013 National Arithmetic Competition Sub Junior Category First Prize
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent most of my time researching about my future plans and good colleges that could make me fulfil my dreams, and at times i went to play football with my friends.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As a kid itself I was determined not to work on land. It was always sea or air. I wanted my job to be adventurous and I love travelling
Why do you wish to join TMI?: During my research I found out that this institute is one of the best institute that provides B.Sc Nautical Science and DNS courses. So I think this institute would be a really good choice for me
What are your hobbies?: Football, Basketball, Badminton, Calisthenics, Cycling, Guitar
What are your strengths?: Confidence, Determination, Teamwork, Problem Solving, Multitasking, Quick Reflexes
What are your weaknesses?: Short Tempered, Public Speaking
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport 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 ________________

 
Print Summary and Application Form