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


  Dossier ID: DNS2177524
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Christy Joseph
Mother's Name: Sheeba
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Dec 2002 Nationality: Indian
Place of Birth: North parav Personal Identification Mark: Black mole on the left top of the lips
Blood Group: O + Address for Communication: Kattiparambil House varapuzha Landing P.O Kattiparambil
State: Kerala Country: India
Pin: 683517 City/District: Ernakulam
Mobile no: 8589090545 Telephone No. with STD code: 8589090545
Aadhar Card No:769306538635 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Joseph Relationship with candidate: Father
Parents Date of Birth: 19 Apr 1965 Parent's/Guardian's Occupation/Designation: Carpenter
Office Address:
Address: Nil Nil
Country: India State: Kerala
City/District: Ernakulam Pin: 683517
Tel: Mobile no.: 6235924944
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: St. Joseph HSS School: HSS of Jesus
City: Ernakulam City: Ernakulam
English %: 89 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Centre code:
  Address of School/College: Vayanasala Rd, Kothad, Kochi, Kerala 682027
  Pin: 682027
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
09/2020 Football Inter school 1
08/2020 Swimming School 2
How do you intend spending your time after completing class XII Final exams and before joining college ?: I planned for spoke English classes and
Why do you wish to join TMI?: Because TMI is the one the famous institute.its dream to complete my studies at TMI
What are your hobbies?: Drawing , playing outdoor games, listing to music and cycling
What are your strengths?: My family, friends and my confidence
What are your weaknesses?: Over stressing
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 XIIĀ 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.