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: DNS2175075
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Albin George
Mother's Name: Mariamma George
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Oct 2002 Nationality: Indian
Place of Birth: Pala Personal Identification Mark: A big mole under the left side of the lips
Blood Group: O + Address for Communication: KANAPPALLIL HOUSE MELAMPARA P.O. KOTTAYAM
State: Kerala Country: India
Pin: 686578 City/District: Kottayam
Mobile no: 8848109699 Telephone No. with STD code:
Aadhar Card No:996995745096 E-mail: albingeorge396@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: George joseph Relationship with candidate: Father
Parents Date of Birth: 22 Dec 1972 Parent's/Guardian's Occupation/Designation: Painting
   
Office Address:
   
Address: KANAPPALLIL HOUSE MELAMPARA p.o Kottayam
Country: India State: Kerala
City/District: Kottayam Pin: 686578
Tel: Mobile no.: 9605528997
Fax: Email: albingeorge396@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: ST.VINCENT ENGLISH MEDIUM H S S PALA School: HOLY CROSS HIGHER SECONDARY SCHOOL
City: Kottayam City: Cherpunkal
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Holy cross higher secondary school cherpunkal p.o., Kottayam
  Pin: 686578
  Contact Nos: 09605528997
  Email: albingeorge396@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2018 Throw ball 62nd Kerala State schools games championship Second
10/2019 Throw ball 63rd Kerala State schools games championship Fifth
08/2019 Netball Kottayam district netball association Second
09/2019 Throw ball 18th Kottayam revenue district school games and athletic championship Second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Playing football
Why do you wish to join TMI?: Yes
What are your hobbies?: Playing football
What are your strengths?: I can adapt improvise and overcome the difficult situations
What are your weaknesses?: perfectionist
How do you intend to meet the expenses of this program?: Bank Loan
 
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.