Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
  Dossier ID: DNS2172328
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: CYRIAC THAMPY
Mother's Name: KUSUMAM CYRIAC
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Oct 2002 Nationality: INDIAN
Place of Birth: PALA Personal Identification Mark: TWO MOLES ON THE LEFT ARM
Blood Group: A + Address for Communication: ERUVELIKUNNEL HOUSE, PIZHAKU P.O. , PALA, KOTTAYAM, KERALA.
State: Kerala Country: India
Pin: 686651 City/District: KOTTAYAM
Mobile no: 7306638920 Telephone No. with STD code: 07306638920
Aadhar Card No:633744205344 E-mail: cyriacthampy@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: THAMPY ANTONY Relationship with candidate: FATHER
Parents Date of Birth: 01 Jun 1967 Parent's/Guardian's Occupation/Designation: AGRICULTURE
   
Office Address:
   
Address: ERUVELIKUNNEL HOUSE, PIZHAKU P.O. , PALA, KOTTAYAM, KERALA.
Country: India State: Kerala
City/District: KOTTAYAM Pin: 686651
Tel: 07306638920 Mobile no.: 9447506708
Fax: Email: cyriacthampy@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: NIRMALA PUBLIC SCHOOL School: ALPHONSA RESIDENTIAL SCHOOL
City: PALA City: PALA
English %: 86 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: ALPHONSA RESIDENTIAL SCHOOL BHARANANGANAM, PALA, KOTTAYAM, KERALA
  Pin: 686578
  Contact Nos:
  Email: arsbhm1972@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
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 WILL SPEND MY TIME TO PREPARE FOR IMUCET.
Why do you wish to join TMI?: MERCHANT NAVY IS MY PASSION AND IT IS MY DREAM TO BECOME A MASTER MARINER.TOLANI IS ONE OF THE BEST MARITIME INSTITUTES IN INDIA WHICH WILL HELP ME TO CHASE MY DREAMS.
What are your hobbies?: PLAYING CHESS
What are your strengths?: LEADERSHIP, PATIENCE, TOLERANCE
What are your weaknesses?: TOO SELFLESS, OVERLY IDEALISTIC
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded School leaving certificate not uploaded 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

 

___________________

Date ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.