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: DNS2180879
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Tino Chacko
Mother's Name: Thresiamma K T
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Feb 2003 Nationality: Indian
Place of Birth: Kidagoor Personal Identification Mark: Black spot on little finger of the left hand
Blood Group: O + Address for Communication: Kunchaparambil House Neendoor P.O . Kottayam 686601 Kunchaparambil House Neendoor P.O. kottayam 686601
State: Kerala Country: India
Pin: 686601 City/District: Kottayam
Mobile no: 8891230799 Telephone No. with STD code:
Aadhar Card No:308860226451 E-mail: tinochacko12ad345@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MT Chacko Relationship with candidate: Father
Parents Date of Birth: 05 Nov 1957 Parent's/Guardian's Occupation/Designation: Rtd SI of police
   
Office Address:
   
Address: Nil Nil
Country: India State: Kerala
City/District: Kottayam Pin: 686601
Tel: Mobile no.: 9495513203
Fax: Email: thresiammakt60@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: SFS Public School Ettumanoor School: St Ephrems Higher secondary school Mannanam
City: Kottayam City: Kottayam
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Centre code:
  Address of School/College: St Ephrems Higher secondary school Mannanam PO Kottayam
  Pin: 686561
  Contact Nos:
  Email: stephremsmnm@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I used to spend my time by doing housework and playing games
Why do you wish to join TMI?: Because it is one of the best college in the county
What are your hobbies?: Football
What are your strengths?: A good speaker, good listener .
What are your weaknesses?: A little bit lazy ...but am changing my attitude
How do you intend to meet the expenses of this program?: Own Resources
 
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.