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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2173176 Name: Sam Thomas
  Address: 9745953821 9037386889
Telephone No.: Mobile no: 9745953821
E-mail: samthomas3323@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173176 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
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
  Dossier ID: DNS2173176
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sam Thomas
Mother's Name: Liji Thomas
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Mar 2003 Nationality: INDIAN
Place of Birth: Kozhikode Personal Identification Mark: birthmark on right knee
Blood Group: A + Address for Communication: 9745953821 9037386889
State: Kerala Country: India
Pin: 683561 City/District: Aluva Ernakulam
Mobile no: 9745953821 Telephone No. with STD code:
Aadhar Card No:450599500884 E-mail: samthomas3323@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Thomas Antony Relationship with candidate: Father
Parents Date of Birth: 27 Jul 1970 Parent's/Guardian's Occupation/Designation: DOCTOR
   
Office Address:
   
Address: 9947204773 00966537770892
Country: India State: Kerala
City/District: Aluva Ernakulam Pin: 683561
Tel: Mobile no.: 9947204773
Fax: Email: thaniyan1@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Rajagiri Christu Jayanthi Public School School: Rajagiri Christu Jayanthi Public School
City: Kochi City: Kochi
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: Rajagiri Valley, P.O, Kakkanad, Kochi, Kerala 682039
  Pin: 682039
  Contact Nos: 09947204773
  Email: thaniyan1@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 would like to learn new skills and languages in the time before joining TMI and prepare for the course Iam getting enrolled in.I also see this period as time to take up responsibilities and improve myself as a humble human being.
Why do you wish to join TMI?: I have come to know that TMI is one of the institute which provide quality education in maritime field and the name of this prestiguous intitution have always come up in top marite instituitions.
What are your hobbies?: Exercise , Play Chess , Reading
What are your strengths?: Fluent English and public speaking , Good in athletics, Fitness motivated,
What are your weaknesses?: Creativity , Taking too many risks,Being too honest
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet 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 ________________

 
Print Summary and Application Form