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


  Dossier ID: DNS2175223
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Emil Thomas
Mother's Name: List Thomas
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Dec 2002 Nationality: Indian
Place of Birth: Thellakom Personal Identification Mark: A mole on the lower lip
Blood Group: A + Address for Communication: Mannancheril house Kummannoor Kummannoor
State: Kerala Country: India
Pin: 686572 City/District: Kottayam
Mobile no: 9074093926 Telephone No. with STD code: +919074093926
Aadhar Card No:682805550245 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Thomas Sebastian Relationship with candidate: Father
Parents Date of Birth: 13 Dec 1972 Parent's/Guardian's Occupation/Designation: Civil police officer
Office Address:
Address: Mannancheril house Kummannoor Kummannoor
Country: India State: Kerala
City/District: Kottayam Pin: 686572
Tel: 09074093926 Mobile no.: 9447386240
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Holy cross HSS cherpunkal School: Holy cross HSS cherpunkal
City: Kottayam City: Cherpunkal
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: Holy cross Higher secondary school cherpunkal
  Pin: 686584
  Contact Nos: 09447386240
  Aggregate Percentage:
Details of Marks Secured in (10+2) Examination -

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 ?: Playing football
Why do you wish to join TMI?: Yes
What are your hobbies?: Playing football
What are your strengths?: I can overcome any kind of difficult situation
What are your weaknesses?: Perfectionist
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 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 ________________