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


  Dossier ID: DNS2176863
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Abhai Cibi
Mother's Name: Preetha KL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Aug 2002 Nationality: Indian
Place of Birth: Angamaly Personal Identification Mark: A black mol on nose aside
Blood Group: A + Address for Communication: Maracheryputheth puliyanam p.o angamaly,kerala,India Maracheryputheth puliyanam p.o angamaly,kerala,India
State: Kerala Country: India
Pin: 683572 City/District: Ernakulam
Mobile no: 8590853997 Telephone No. with STD code:
Aadhar Card No:819781485925 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Cibi Thomas Relationship with candidate: Father
Parents Date of Birth: 03 Mar 1970 Parent's/Guardian's Occupation/Designation: Company employee
Office Address:
Address: Ekart,kanjoor,kerala,India Ekart,kanjoor,keralaIndua
Country: India State: Kerala
City/District: Ernakulam Pin: 683572
Tel: 09961364522 Mobile no.: 9961364522
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: Vidhadhiraja vidyabhavan School: Govt.hss puliyanam
City: Angamaly City: angamaly
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: Ghss puliyanam,angamaly,683572
  Pin: 683572
  Contact Nos: 09961364522
  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 ?: For preparing for sponsorship exam.
Why do you wish to join TMI?: Because of job opportunity
What are your hobbies?: Football,fishing
What are your strengths?: My familes
What are your weaknesses?: My dreams
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 ________________

Last date for payment of application fees has passed. No further application fee payment will be accepted.