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


  Dossier ID: DNS2177650
Applicant's Personal Information:
Full Name as on Class XII Marksheet/Pass Certificate: Martin k devasia
Mother's Name: Sheela devasia
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Oct 2003 Nationality: Indian
Place of Birth: Payyanur Personal Identification Mark: A black mole on the left temple
Blood Group: O + Address for Communication: Koottumkal Thabore Cherupuzha
State: Kerala Country: India
Pin: 670511 City/District: Kannur
Mobile no: 9072002463 Telephone No. with STD code:
Aadhar Card No:867012657912 E-mail:
Guardian's Particulars:
Name of Parent/Guardian: Devasia k p Relationship with candidate: Father
Parents Date of Birth: 26 Feb 1959 Parent's/Guardian's Occupation/Designation: Agriculture
Office Address:
Address: Koottumkal Thabore Cherupuzha
Country: India State: Kerala
City/District: Kannur Pin: 670511
Tel: Mobile no.: 8086207840
Fax: Email:

Education and Academic Record :

Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: St Marys hs cherupuzha School: Ghss prapoyil
City: Cherupuzha City: Prapoyil
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Prapoyil Prapoyil Cherupuzha Kannur
  Pin: 670511
  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 ?: Preparing for entrence examinations and for physical activities
Why do you wish to join TMI?: I do wish to join in TMI because Tolani Maritime Institute is the first marine engineering institute in private sector and have excellent placement records and also achieved a lots of honourable awards.
What are your hobbies?: Cricket, reading, music
What are your strengths?: Leadership, creativity
What are your weaknesses?: Self criticism
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

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.