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: DEG2182558 Name: MIDHUN SUBHASH
  Address: ANNAIMADOM KOTTEMURI THRIKKUNNAPUZHA P.O
Telephone No.: Mobile no: 9746803494
E-mail: midhunsubhash3797@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 435116050
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2182558 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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2182558
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MIDHUN SUBHASH
Mother's Name: SHEEBA S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Jun 2003 Nationality: INDIAN
Place of Birth: ALAPPUZHA Personal Identification Mark: A MOLE ON THE LEFT SHOULDER
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 20 Jun 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: ANNAIMADOM KOTTEMURI THRIKKUNNAPUZHA P.O
State: Kerala Country: India
Pin: 690515 City/District: ALAPPUZHA
Mobile no: 9746803494 Telephone No. with STD code:
Aadhar Card No:652697577824 E-mail: midhunsubhash3797@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: V SUBHASH Relationship with candidate: FATHER
Parents Date of Birth: 20 Nov 1963 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: NA NA NA
Country: India State: Kerala
City/District: ALAPPUZHA Pin: 690515
Tel: Mobile no.: 9400139124
Fax: Email: sheebasubashjm@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: ST. THOMAS HSS KARTHIKAPPALLY School: GOVT BOYS HSS KAYAMKULAM
City: KARTHIKAPPALLY City: KAYAMKULAM
English %: 100 Board Roll No./Seat No.: 8077974
Aggregate Percentage: 97 School/College Code: 04006
  Address of School/College: KAYAMKULAM P.O ALAPPUZHA
  Centre code: 04006
  Pin: 690502
  Contact Nos:
  Email: govtboyshsskayamkulam@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
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
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2017 THE BHARAT SCOUTS AND GUIDES RAJYA PURASKAR LEADER
07/2019 HIGHER SECONDARY NATIONAL SERVICE SCHEME STATE LEVEL LEADERSHIP TRAINING PROGRAMME FOR NSS VOLUNTEERS LEADER
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION FOR IMU CET EXAM
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I choose being a marine engineer as my career because I have always been in love with the ocean and to travel the world for free.
Why do you wish to join TMI?: because of good carrer.
What are your hobbies?: READING BOOKS AND PLAY FOOT BALL
What are your strengths?: LEADERSHIP QUALITY, COMMUNICATION AND WRITING SKILLS , HARDWORK
What are your weaknesses?: SELF CRITICISM , EXTROVERTED
How do you intend to meet the expenses of this program?: Own Resources,Other - HELP FROM RELATIVES
 
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
 
Declaration

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

Signature of Candidate

 

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Date ________________

 
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