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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2177577 Name: JIBIN THOMAS
  Address: KONATH HOUSE GOTHURUTH GOTHURUTH P O
Telephone No.: Mobile no: 8138086156
E-mail: jibinthomaskonath@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 428277954
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2177577 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 
Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

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: DNS2177577
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: JIBIN THOMAS
Mother's Name: BINDHU
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Apr 2003 Nationality: INDIAN
Place of Birth: N PARAVUR Personal Identification Mark: A BLACK MOLE BELOW THE RIGHT EYE
Blood Group: A + Address for Communication: KONATH HOUSE GOTHURUTH GOTHURUTH P O
State: Kerala Country: India
Pin: 683516 City/District: ERNAKULAM
Mobile no: 8138086156 Telephone No. with STD code:
Aadhar Card No:573998312892 E-mail: jibinthomaskonath@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: THOMAS K O Relationship with candidate: FATHER
Parents Date of Birth: 01 May 1963 Parent's/Guardian's Occupation/Designation: DRIVER
   
Office Address:
   
Address: KONATH HOUSE GOTHURUTH GOTHURUTH P O
Country: India State: Kerala
City/District: ERNAKULAM Pin: 683516
Tel: Mobile no.: 8138086156
Fax: Email: jibinthomaskonath@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: ST SEBASTIANS H S GOTHURUTH School: S N M H S S MOOTHAKUNNAM
City: NORTH PARAVUR City: NORTH PARAVUR
English %: 99 Board Roll No./Seat No.:
Aggregate Percentage: 98 School/College Code:
  Centre code:
  Address of School/College: S N M H S S MOOTHAKUNNAM MOOTHAKUNNAM P O NORTH PARAVUR ERNAKULAM
  Pin: 683516
  Contact Nos: 8138086156
  Email: jibinthomaskonath@gmail.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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2019 BASKET BALL DISTRICT FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: DUE TO CORONA I WAS SPENDING MY DAYS IN HOME BUT STILL CONCENTRATE IN FARMING
Why do you wish to join TMI?: I LIKE TO LEAD AN ADVENTUROUS CARRIER RATHER THAN WORKING IN AN OFFICE. I AM HARDWORKING PERSON .I THINK I AM A RIGHT PERSON TO JOIN TMI
What are your hobbies?: READING BOOKS AND PLAYING BASKET BALL
What are your strengths?: LEADERSHIP QUALITY,PATIENCE , DISCIPLINE AND DEDICATION
What are your weaknesses?: I MAINLY NFOCCUS ON PERFECTION
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
 
Declaration

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

Signature of Candidate

 

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Date ________________

 
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