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: DNS2173471
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Darwin Jose
Mother's Name: Ezhilarasi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Feb 1998 Nationality: Indian
Place of Birth: Nagercoil Personal Identification Mark: A cut mark on the left hand of Index finger
Blood Group: A + Address for Communication: pandarvilai ,veeyanoor post ,kattathurai, panchayat kanyakumari Susai street, ramenputhoor Nagercoil
State: Tamil Nadu Country: India
Pin: 629177 City/District: Nagercoil
Mobile no: 8778792481 Telephone No. with STD code: +918778792481
Aadhar Card No:528209563475 E-mail: darwinjose654@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ezhilarasi M Relationship with candidate: Mother
Parents Date of Birth: 31 Jul 1995 Parent's/Guardian's Occupation/Designation: Housewife
   
Office Address:
   
Address: 5-138/5PANDARAVILAI,VEEYANOOR POST,KATTATHURAI PANCHAYAT,KANYAKUMARI SUSAI STREET RAMANPUTHOOR
Country: India State: Tamil Nadu
City/District: NAGERCOIL Pin: 627177
Tel: Mobile no.: 9751425305
Fax: Email: darwinjose654@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: Tamil Nadu Board: Uttar Pradesh
School: St Josepss high school School: Uttar Pradesh state open school board
City: Mulavilai City: Uttar Pradesh
English %: 61 Board Roll No./Seat No.: A2100017000112
Aggregate Percentage: 67 School/College Code: 105
  Centre code: 105
  Address of School/College: Raheja House, No. 5, Picnic Spot Rd, near Manas Tiraha, Vimal Kunj Colony, Chandanapur, Lucknow, Uttar Pradesh 226015, India
  Pin: 226015
  Contact Nos:
  Email: uttarpradeshsosb01@gmai.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 71 71
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 72.67
English 100 62 62
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
08/2019 OpitobasicH2Straining 1day
07/2019 Tropicalbasicoffshoresafetyinductionandemergency 7days
04 / 2019) STCW 15days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am working offshore
Why do you wish to join TMI?: I want become a officer so I need to study and ur collage the best
What are your hobbies?: Traveling
What are your strengths?: I am self-motivated
What are your weaknesses?: my inability to share responsibilities
How do you intend to meet the expenses of this program?: Own Resources
 
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.