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.Sc. Nautical Science
Dossier ID: DEG2183263 Name: Jerin Jackson
  Address: Neel Angan, Flat no.102, Sector no.19, Plot no.27, New Panvel, Maharashtra Neel Angan, Flat no.102, Sector no.19, plot no.27, New Panvel, Maharashtra
Telephone No.: Mobile no: 8424839344
E-mail: jerinjackson7@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 438171168
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2183263 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.Sc. Nautical Science
Dossier ID: DEG2183263
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Jerin Jackson
Mother's Name: Rani Jackson
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 14 Nov 2003 Nationality: Indian
Place of Birth: Alappuzha Personal Identification Mark: Birthmark on right ring finger
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 14 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: Neel Angan, Flat no.102, Sector no.19, Plot no.27, New Panvel, Maharashtra Neel Angan, Flat no.102, Sector no.19, plot no.27, New Panvel, Maharashtra
State: Maharashtra Country: India
Pin: 410206 City/District: New Panvel
Mobile no: 8424839344 Telephone No. with STD code:
Aadhar Card No:614545613422 E-mail: jerinjackson7@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jackson Xavier Relationship with candidate: Father
Parents Date of Birth: 13 Dec 1967 Parent's/Guardian's Occupation/Designation: Supervisor
   
Office Address:
   
Address: Naik Frozen Foods Pvt Ltd, MIDC, Taloja Naik Frozen Foods Pvt Ltd, MIDC, Talaoja
Country: India State: Maharashtra
City/District: New Panvel Pin: 410206
Tel: Mobile no.: 8693868789
Fax: Email: jerinjackson7@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: St. Joseph High School School: Mahatma Junior College
City: New Panvel City: New Panvel
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 67 School/College Code:
  Address of School/College: Sector 8, Khanda Colony, New Panvel
  Centre code:
  Pin: 410206
  Contact Nos: 2227454285
  Email: jerinjackson7@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
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
08/2016 Taekwondo District Third
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading Books, Gaining more information about my Job and also about the events going on around the world, Improve my vocabulary and speech skills.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I find myself a sustainable and suitable candidate for this field as I am not much social and having lived away from my homeland since many years, I have developed the quality of adaptation which is a key requirement for this field. The higher position that an Navigating officer can aspire is to become the Master of the ship.
Why do you wish to join TMI?: As TMI is the Best Institute in India for Nautical Science with maximum training, knowledge and placement percentage, I would like to join TMI for sure
What are your hobbies?: Cycling, Reading, Exercise
What are your strengths?: Focused, Integrity, Flexibility, Versatility
What are your weaknesses?: I Focus too much on the details, Public Speaking
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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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