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: DEG2191388 Name: ALBERT JIMMY
  Address: Chittuparambil house Behind St sebastian high school kanjoor Kanjoor P.O,683575,Ernakulam
Telephone No.: Mobile no: 8330816903
E-mail: albertjimmy123456@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: 13640447175
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2191388 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DEG2191388
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ALBERT JIMMY
Mother's Name: SHALY THOMMY
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Aug 2002 Nationality: INDIAN
Place of Birth: ANGAMALY Personal Identification Mark: A BLACK MOLE ON THE RIGHT FOREHEAD
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 07 Aug 2002 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: Chittuparambil house Behind St sebastian high school kanjoor Kanjoor P.O,683575,Ernakulam
State: Kerala Country: India
Pin: 683575 City/District: Ernakulam
Mobile no: 8330816903 Telephone No. with STD code:
Aadhar Card No:5404 3412 2180 E-mail: albertjimmy123456@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JIMMY FRANCIS Relationship with candidate: Father
Parents Date of Birth: 09 Dec 1973 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Chittuparambil House Behind St Sebastian High School Kanjoor Kanjoor P.O,683575,Ernakulam
Country: India State: Kerala
City/District: Ernakulam Pin: 683575
Tel: Mobile no.: 7034910096
Fax: Email: jimmyfransis44@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: St sebastian high school kanjoor School: DE PAUL E.M.H.S. SCHOOL
City: Ernakulam City: Ernakulam
English %: 94 Board Roll No./Seat No.: 8167130
Aggregate Percentage: 90 School/College Code: 07176
  Address of School/College: Angamaly South,kerala
  Centre code: 07176
  Pin: 683573
  Contact Nos:
  Email: depaulemhss@gmail.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 153 76.5
Chemistry 200 181 90.5
Mathematics 200 160 80
Physics, Chemistry & Mathematics combined Percentage: 82.33
English 100 99 99
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for entrance exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Reputated college
What are your hobbies?: Playing Football
What are your strengths?: Hardworking,undeterred
What are your weaknesses?: Nill
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 Class XII marksheet
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form