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.Tech. Marine Engineering
Dossier ID: DEG2190759 Name: JIBIN K
  Address: KURUTHIKUZHI HOUSE CHERPULASSERY POST PALAKKAD DIST
Telephone No.: Mobile no: 8943557986
E-mail: jibiksuresh@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: 13584425987
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190759 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.Tech. Marine Engineering
Dossier ID: DEG2190759
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: JIBIN K
Mother's Name: PRIYA P
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Oct 2003 Nationality: INDIAN
Place of Birth: CHERPULASER Personal Identification Mark: A BLACK MOLE ON LEFT NEAR THE EYE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 28 Oct 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: KURUTHIKUZHI HOUSE CHERPULASSERY POST PALAKKAD DIST
State: Kerala Country: India
Pin: 679503 City/District: PALAKKAD
Mobile no: 8943557986 Telephone No. with STD code:
Aadhar Card No:550769227928 E-mail: jibiksuresh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SURESH K Relationship with candidate: FATHER
Parents Date of Birth: 17 Apr 1971 Parent's/Guardian's Occupation/Designation: TAILOR
   
Office Address:
   
Address: ART LINE NEAR MARKET BUILDING CHERPULASSERY POST
Country: India State: Kerala
City/District: PALAKKAD DIST Pin: 679503
Tel: Mobile no.: 9947222181
Fax: Email: jibiksuresh@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: SABARI CENTRAL SCHOOL CHERPALCHERI School: GHSS CHERPULASSERY
City: CHERPULASSERY City: CHERPULASSERY
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Address of School/College: GHSS CHERPULASSERY CHERPULASSERY POST PALAKKAD DIST
  Centre code:
  Pin: 679503
  Contact Nos:
  Email: ghsscpy@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing entrance
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Travelling experience
Why do you wish to join TMI?: I am very interested to study the subject
What are your hobbies?: Drawing, cycling, Travelling
What are your strengths?: Self confidence, Focused
What are your weaknesses?: Self-criticism
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

 

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Date ________________

 
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