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: DNS2176206
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Don Varghese P D
Mother's Name: Sheela C P
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Nov 2003 Nationality: India
Place of Birth: Thrissur Personal Identification Mark: A stitch mark on Forehead
Blood Group: O + Address for Communication: Parameters Alappadan house PO chevoor pin-680027 Thrissur
State: Kerala Country: India
Pin: 680027 City/District: Thrissur district
Mobile no: 8590607585 Telephone No. with STD code: 0487-2345344
Aadhar Card No:848667104569 E-mail: donvarghesepd@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Don Bosco P V Relationship with candidate: Father
Parents Date of Birth: 09 Sep 1970 Parent's/Guardian's Occupation/Designation: Bussiness
   
Office Address:
   
Address: Paramel Alappadan house PO chevoor pin-680027 Thrissur
Country: India State: Kerala
City/District: Thrissur district Pin: 680027
Tel: 04872345344 Mobile no.: 9447795344
Fax: Email: donboscopv3@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Lourde Matha E M H S S School: ST.ANTONYS HSS AMMADAM
City: Thrissur City: THRISSUR
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 97 School/College Code:
  Centre code:
  Address of School/College: ST.ANTONYS HSS AMMADAM P O AMMADAM PIN 680563 THRISSUR KERALA
  Pin: 680563
  Contact Nos:
  Email: stantonyshssammadam@rocketmail.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 ?: Always helpful to my parents Engaged in some social activities Attending short term spoken English
Why do you wish to join TMI?: For getting good placement
What are your hobbies?: Listening music and gardening
What are your strengths?: prayer and hardwork
What are your weaknesses?: competitive action
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan - Relatives
 
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
 
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.