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: DEG2194565
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Cyril Mathew
Mother's Name: Shyny Antony
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Nov 2002 Nationality: India
Place of Birth: Nalukody Personal Identification Mark: A scar on the left eyebrow
Blood Group: A +  
Date of Birth (DD/MM/YY): 27 Nov 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: Thottupurathu Anickadu East P.O
State: Kerala Country: India
Pin: 686503 City/District: Kottayam
Mobile no: 8113888539 Telephone No. with STD code:
Aadhar Card No:531822566055 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Rijumon S Relationship with candidate: Father
Parents Date of Birth: 20 Apr 1996 Parent's/Guardian's Occupation/Designation: Agriculture
Office Address:
Address: Thottupurathu Anickadu East P.O
Country: India State: Kerala
City/District: Kottayam Pin: 686503
Tel: Mobile no.: 9447702235
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Kerala Board: Kerala
School: St Thomas H S Anickadu School: Don Bosco HSS
City: Kottayam City: Thrissur
English %: 89 Board Roll No./Seat No.: 8194833
Aggregate Percentage: 95 School/College Code: 08091
  Address of School/College: Don Bosco HSS,Mullakkara
  Centre code: 08091
  Pin: 680651
  Contact Nos: 04872370853
  Aggregate Percentage: 93
Details of Marks Secured in (10+2) Examination -

Physics 200 159 79.5
Chemistry 200 196 98
Mathematics 200 170 85
Physics, Chemistry & Mathematics combined Percentage: 87.5
English 100 100 100
IMU CET Application Number:  
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing basketball
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I love to work in ships
Why do you wish to join TMI?: Friends suggested
What are your hobbies?: Basketball,guitar,music
What are your strengths?: Computer,music
What are your weaknesses?: Football
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 not uploaded

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

Signature of Candidate



Date ________________