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: DEG2190647 Name: AJITH A S
  Address: Koodarapilly house, Lane no-3 Janatha Road, Vyttila PO Ernakulam
Telephone No.: +91 9656878939 Mobile no: 9656878939
E-mail: sijuks1983@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13568880205
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190647 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: DEG2190647
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AJITH A S
Mother's Name: SIMI SIJU
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Apr 2003 Nationality: INDIAN
Place of Birth: ERNAKULAM Personal Identification Mark: Black mole on left side of forehead
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 17 Apr 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: Koodarapilly house, Lane no-3 Janatha Road, Vyttila PO Ernakulam
State: Kerala Country: India
Pin: 682019 City/District: Ernakulam
Mobile no: 9656878939 Telephone No. with STD code: +91 9656878939
Aadhar Card No:661771362938 E-mail: sijuks1983@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SIMI SIJU Relationship with candidate: Mother
Parents Date of Birth: 28 Feb 1979 Parent's/Guardian's Occupation/Designation: Office staff
   
Office Address:
   
Address: Koodarapilly house, Lane no-3 Janatha Road, Vyttila P O Ernakulam
Country: India State: Kerala
City/District: Ernakulam Pin: 682019
Tel: Mobile no.: 9656878939
Fax: Email: sijuks1983@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: S N V Public School School: Sree narayana HSS
City: Ernakulam City: Ernakulam
English %: 87 Board Roll No./Seat No.: 8153237
Aggregate Percentage: 73 School/College Code: 07065
  Address of School/College: Thrikkanarvattom, Ayyappankaavu, Chittor road
  Centre code: 07065
  Pin: 682018
  Contact Nos: 04842392213
  Email: snhss7065@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 170 85
Chemistry 200 149 74.5
Mathematics 200 185 92.5
Physics, Chemistry & Mathematics combined Percentage: 84
English 100 96 96
   
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
09/2019 NSS Normal As a cadet
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: attending driving classes and preparing for IMU CET exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is my dream. Also good opportunity to explore world
Why do you wish to join TMI?: One of the best academy in india
What are your hobbies?: Playing football
What are your strengths?: Positive minded
What are your weaknesses?: still i could not find my weakness, because everything i am approaching with positive mind. If i am going to fail will try for next time
How do you intend to meet the expenses of this program?: 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

 

___________________

Date ________________

 
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