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: DNS2175047
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Albin k Thomas
Mother's Name: Jeemol Thomas
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jun 2003 Nationality: Indian
Place of Birth: Kottayam Personal Identification Mark: Black mole in right hand
Blood Group: B + Address for Communication: Kuruvilla villa S.Puram PO Kurichy
State: Kerala Country: India
Pin: 686532 City/District: Kottayam
Mobile no: 9744863563 Telephone No. with STD code:
Aadhar Card No:571974054664 E-mail: albinkthomas00@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Thomas kuruvilla Relationship with candidate: Father
Parents Date of Birth: 19 Apr 1972 Parent's/Guardian's Occupation/Designation: Sales
   
Office Address:
   
Address: Kuruvillavilla S.puram po Kurichy
Country: India State: Kerala
City/District: Kottayam Pin: 686532
Tel: Mobile no.: 9847057925
Fax: Email: albinkthomas00@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: St Teresas School: M D seminary
City: Changnacherry City: Kottayam
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Centre code:
  Address of School/College: MD seminary Higher secondary school road, behind malayala manorama , erayil kadavu ,Kottayam, Kerala 686004
  Pin: 686004
  Contact Nos: 9744863563
  Email: albinkthomas00@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
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 ?: No
Why do you wish to join TMI?: Because of placement
What are your hobbies?: Watching movies
What are your strengths?: Time management skills
What are your weaknesses?: Multitasking
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 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

 

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Date ________________