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: DEG2189517 Name: Sisson Chandy
  Address: 7th block , Gandhinagar Virajpet , kodagu
Telephone No.: 08274295211 Mobile no: 9353927123
E-mail: sissonchandy309@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 442217510
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2189517 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: DEG2189517
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sisson Chandy
Mother's Name: Simimol M M
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Nov 2003 Nationality: India
Place of Birth: Kodungallur Personal Identification Mark: Birth mark on right thigh
Blood Group: A -  
 
Date of Birth (DD/MM/YY): 07 Nov 2003 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Sisson Chandy Passport No.: N4046707
Date of Expiry: 29 Oct 2020 Place of Issue: Bangalore
(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: 7th block , Gandhinagar Virajpet , kodagu
State: Karnataka Country: India
Pin: 571218 City/District: Kodagu
Mobile no: 9353927123 Telephone No. with STD code: 08274295211
Aadhar Card No:369621913210 E-mail: sissonchandy309@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: A C Anthony Relationship with candidate: Father
Parents Date of Birth: 19 Jul 1971 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: 7th block , Gandhinagar , virajpet , Kodagu Virajpet , kodagu
Country: India State: Karnataka
City/District: Kodagu Pin: 571218
Tel: 08274295211 Mobile no.: 9448057309
Fax: Email: sissonchandy309@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Other
School: Coorg Public School School: De Paul International Residential school Mysore
City: Kodagu City: Mysore
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Address of School/College: De Paul International Residential school , Belgola , Mandya district. Mysore
  Centre code:
  Pin: 571606
  Contact Nos: 9535187506
  Email: office@dpirs.org
  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
09/2018 Football State Right Wing
12/2018 Athletics Inter house 3rd
09/2018 Talent Search Examination State Writing
12/2018 Football Inter house Forward
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing guitar , playing video games and studying for IMU CET
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: After b.sc nautical science I will be a graduate I am interested about nautical science
Why do you wish to join TMI?: Tolani is the best institute for b.sc nautical science
What are your hobbies?: Playing guitar and video games
What are your strengths?: I am a footballer , Maintain fitness , playing guitar
What are your weaknesses?: Do not know it yet
How do you intend to meet the expenses of this program?: Own Resources,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
 
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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