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


  Dossier ID:
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Jose T Mathew
Mother's Name: Jessy Jose
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Apr 2002 Nationality: Indian
Place of Birth: Kasaragod Personal Identification Mark: Scar near left eye
Blood Group: O + Address for Communication: Thuruthel House , Vellarikundu post Kasaragod, Kerala
State: Kerala Country: India
Pin: 671534 City/District: Kasaragod
Mobile no: 8590411672 Telephone No. with STD code: 08590411672
Aadhar Card No:313320974413 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Mathai T V Relationship with candidate: Father
Parents Date of Birth: 12 Mar 1970 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Vellarikundu Kasaragod, Kerala
Country: India State: Kerala
City/District: Kasaragod Pin: 671534
Tel: 09447461769 Mobile no.: 9447461769
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: ST Elizabeth convent school School: ST Elizabeth convent school
City: Vellarikundu City: Vellarikundu
English %: 86 Board Roll No./Seat No.: 24635839
Aggregate Percentage: 74 School/College Code: 761223
  Centre code: 7724
  Address of School/College: ST Elizabeth convent school Vellarikundu Kasaragod District
  Pin: 671534
  Contact Nos: 09447461769
  Aggregate Percentage: 74
Details of Marks Secured in (10+2) Examination -

Physics 100 83 83
Chemistry 100 70 70
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 72
English 100 93 93
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
12/2018 100m State Participant
08/2018 100m District First
08/2018 200m District First
08/2019 100m District Second
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent my time by practicing a new sport. Watching movies. I tried to know more about merchant navy feild. I visited many places with my family and friends.
Why do you wish to join TMI?: I wish that I want join TMI because I want a great future ahead. I heard a lot about TMIs infrastructure and placement records . So I think TMI is the right choice.
What are your hobbies?: Sports, watching movies, Basketball
What are your strengths?: Hardworking , fast learner and self-motivated towards my career and life.
What are your weaknesses?: Bit lazy to do the work which I am not interested.
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

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

Signature of Candidate



Date ________________

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