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: DEG2189779
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: JEBASTIN RAJAN PAUL M
Mother's Name: Joyce ponnabaranam
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Oct 2003 Nationality: Induan
Place of Birth: KGF Personal Identification Mark: Left arm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 18 Oct 2003 Nationality: Induan
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: 48/46 thottakara st arani ponneri taluk 48 thottakara st arani ponneri taluk
State: Tamil Nadu Country: India
Pin: 601101 City/District: Chennai
Mobile no: 9994542821 Telephone No. with STD code: 09994542821
Aadhar Card No:962620678208 E-mail: dalandon007@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mories Rajan Paul H Relationship with candidate: Father
Parents Date of Birth: 04 Jun 1968 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: 48/46 thottakara st arani ponneri taluk 48 thottakara st arani ponneri taluk
Country: India State: Tamil Nadu
City/District: Chennai Pin: 601101
Tel: 09944466282 Mobile no.: 9944466282
Fax: Email: moriesraj@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Tamil Nadu Board: Tamil Nadu
School: St. Joseph matriculation school School: T. J. S. Matric hr sec school
City: Chennai City: Chennai
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 56 School/College Code:
  Address of School/College: T. J. S. Matriculation higher secondary school T. J. S. Nagar peruvoyal
  Centre code:
  Pin: 601206
  Contact Nos: 7373731642
  Email: tjsmatric@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
08/2019 Football Zonel Runner
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Search for college
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical science is good for me
Why do you wish to join TMI?: Yes
What are your hobbies?: Reading books
What are your strengths?: Fast Learning , hard work
What are your weaknesses?: Hand writing
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

 

___________________

Date ________________