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: DNS2173201 Name: JERRIN GEORGE BIJU
  Address: KALEECKAL JJ VILLA VENMONEY P.O CHENGANNUR ALAPPUZHA
Telephone No.: 07025629031 Mobile no: 7306278378
E-mail: jerringeorgeoff@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 426109797
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173201 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: DNS2173201
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: JERRIN GEORGE BIJU
Mother's Name: RAJANI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Apr 2003 Nationality: INDIAN
Place of Birth: PANDALAM Personal Identification Mark: A BLACK MOLE ON THE LEFT WRIST
Blood Group: O + Address for Communication: KALEECKAL JJ VILLA VENMONEY P.O CHENGANNUR ALAPPUZHA
State: Kerala Country: India
Pin: 689509 City/District: ALAPPUZHA
Mobile no: 7306278378 Telephone No. with STD code: 07025629031
Aadhar Card No:772114377195 E-mail: jerringeorgeoff@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bijumon K George Relationship with candidate: Father
Parents Date of Birth: 15 May 1966 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Kaleeckal jj villa Venmoney p.o chengannur Alappuzha kerala
Country: India State: Kerala
City/District: Alappuzha Pin: 689509
Tel: 04792354125 Mobile no.: 7306278378
Fax: Email: jerringeorgeoff@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Mthss venmoney School: Mthss venmoney
City: Alappuzha City: Alappuzha
English %: 90 Board Roll No./Seat No.: 8092722
Aggregate Percentage: 90 School/College Code: 04052
  Centre code: O4057
  Address of School/College: Mthss venmoney p.o chengannur Alappuzha kerala
  Pin: 689509
  Contact Nos: 07306278378
  Email: jerringeorgeoff@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2019 In scout and guides Awarded RAJYAPURASKAR Rajyapuraskar
07/2019 STUDENTS POLICE CADET Cadet Passed
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2014 Wing Chun kungfu 3 year
04/2021 Graphics desighning course 2 month
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am improving my english fluency and i am learning new languages. I am improving my phitness health and preparing for the exams
Why do you wish to join TMI?: TMI is my first choice. When i choose merchant navy as my proffesion tmi was the first institute i saw
What are your hobbies?: I love cycling and sports. More outdoor activities. Watching movies and reviewing
What are your strengths?: I am very hard working and i can stay strong in any situation
What are your weaknesses?: I easily get close to strangers
How do you intend to meet the expenses of this program?: Own Resources
 
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