Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail:, Web:
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )


Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2190737
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: CHRISTIN C MATHEW
Mother's Name: Terreese George
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Mar 2003 Nationality: INDIAN
Place of Birth: Alappuzha Personal Identification Mark: A mole on the right temple
Blood Group: A +  
Date of Birth (DD/MM/YY): 20 Mar 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: Christin c Mathew Churaparambil Pacha chekkidikadu
State: Kerala Country: India
Pin: 689573 City/District: Alappuzha
Mobile no: 8281331015 Telephone No. with STD code: 8281331015
Aadhar Card No:672291307524 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Xavier Thomas Relationship with candidate: Father
Parents Date of Birth: 15 Jul 1968 Parent's/Guardian's Occupation/Designation: Welder
Office Address:
Address: churaparambil house pacha, chekkidikkadu p.o
Country: India State: Kerala
City/District: Alappuzha Pin: 689573
Tel: 8281331015 Mobile no.: 8281331015
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Lourdes Matha higher secondary school School: Lourdes Matha higher secondary school
City: Alappuzha City: Alappuzha
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 80 School/College Code: 04049
  Address of School/College: churaparambil House pacha, chekkidikkadu p.o
  Centre code:
  Pin: 689573
  Contact Nos: 8281331015
  Aggregate Percentage: 70
Details of Marks Secured in (10+2) Examination -

Physics 200 110 55
Chemistry 200 121 60.5
Mathematics 200 151 75.5
Physics, Chemistry & Mathematics combined Percentage: 63.67
English 100 75 75
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Join spoken English classes and I am going to Jim
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical science
Why do you wish to join TMI?: I like to join your team and I like shipping
What are your hobbies?: Playing football
What are your strengths?: Friends
What are your weaknesses?: Sweets
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

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

Signature of Candidate



Date ________________