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: Jibin Baiju
Mother's Name: Jolly baiju
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Aug 2003 Nationality: Indian
Place of Birth: Punalur ker Personal Identification Mark: A blackish colour on a face
Blood Group: O + Address for Communication: Pathinettil chira narakathara po kavalam Alappuzha district Pathinettil chira narakathara po kavalam Alappuzha district
State: Kerala Country: India
Pin: 688506 City/District: Alappuzha
Mobile no: 8281077392 Telephone No. with STD code:
Aadhar Card No: E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Baiju kurian Relationship with candidate: Father
Parents Date of Birth: 15 May 1971 Parent's/Guardian's Occupation/Designation: Farmer
Office Address:
Address: Pathinettil chira narakathara po kavalam Alappuzha district Pathinettil chira narakathara po kavalam Alappuzha district
Country: India State: Kerala
City/District: Alappuzha Pin: 688506
Tel: Mobile no.: 8281077393
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Salem vhss vengola School: Nss has kavalam
City: Perumbavoor City: Alappuzha
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: Nss high secondary school kavalam Alappuzha district
  Pin: 688506
  Contact Nos:
  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 ?: To go the part time jobs like catering etc .
Why do you wish to join TMI?: One of the best college in india.Very beautiful campus etc are mor like to me.
What are your hobbies?: Watching a ship and sea related videos and playing a football at small time reading a book.
What are your strengths?: My big strength are time management
What are your weaknesses?: My big weakness is a children and I trust a people very easily
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

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

Signature of Candidate



Date ________________

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