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: DEG2190891 Name: JESBRIN BENNY
  Address: POOVATHINGAL HOUSE p.o.kandassankadavu
Telephone No.: 9061081910 Mobile no: 9861081910
E-mail: jesbrinbenny@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: 13592362635
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2190891 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: DEG2190891
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: JESBRIN BENNY
Mother's Name: rincy benny
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Aug 2002 Nationality: INDIA
Place of Birth: olarikkara Personal Identification Mark: black mole on the left hand finger
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 13 Aug 2002 Nationality: INDIA
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: POOVATHINGAL HOUSE p.o.kandassankadavu
State: Kerala Country: India
Pin: 680613 City/District: THRISSUR
Mobile no: 9861081910 Telephone No. with STD code: 9061081910
Aadhar Card No: E-mail: jesbrinbenny@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: benny thomas Relationship with candidate: father
Parents Date of Birth: 31 Jan 1974 Parent's/Guardian's Occupation/Designation: merchant navy
   
Office Address:
   
Address: POOVATHINGAL HOUSE p.o.kandassankadavu
Country: India State: Kerala
City/District: THRISSUR Pin: 680613
Tel: 09048054341 Mobile no.: 8129383350
Fax: Email: btpoovathingal@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: carmel central school School: SNGSHSS KARAMUK
City: THRISSUR City: THRISSUR
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: karamuk .p.o. kandassankadavu
  Centre code:
  Pin: 680613
  Contact Nos:
  Email: JESBRINBENNY@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 ?: i am tainking sponsership examination.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: its good to move away the country and sailing in the ship
Why do you wish to join TMI?: i herd that tmi is a good institute
What are your hobbies?: fishing , cycling,travelling
What are your strengths?: my parents
What are your weaknesses?: food,fishing
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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