Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science 2021)


Application Summary:
 
Course Enrolled (First Choice): B.Tech. Marine Engineering Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG7068399 Name: Reuben D Kurissingal
  Address: JVN Hilltop Villas West Punnamattom Muvattupuzha , Ernakulam
Telephone No.: Mobile no: 9446363603
E-mail: reubendkurissingal@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 411364767
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068399 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG7068399
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Reuben D Kurissingal
Mother's Name: Jinny
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Feb 2003 Nationality: Indian
Place of Birth: Kothamangal Personal Identification Mark: Black mole in left ear
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 13 Feb 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Reuben D Kurissingal Passport No.: U7762606
Date of Expiry: 27 Dec 2030 Place of Issue: Cochin
(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)
 
Address for Communication: JVN Hilltop Villas West Punnamattom Muvattupuzha , Ernakulam
State: Kerala Country: India
Pin: 686673 City/District: Ernakulam
Mobile no: 9446363603 Telephone No. with STD code:
Aadhar Card No:312182543395 E-mail: reubendkurissingal@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dolly C Kurisingal Relationship with candidate: Father
Parents Date of Birth: 21 Jul 1974 Parent's/Guardian's Occupation/Designation: Government service
   
Office Address:
   
Address: Oriental Insurance Company Limited Jyothi Super Bazaar Thodupuzha
Country: India State: Kerala
City/District: Idukki Pin: 685584
Tel: Mobile no.: 9446363603
Fax: Email: dolly.ck@orientalinsurance.co.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Canadian Central School School: St Peters Senior Secondary School
City: Muvattupuzha City: Kolenchery
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: Kadayiruppu Kolenchery
  Centre code:
  Pin: 682311
  Contact Nos:
  Email: stpeterskd@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
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 ?: Will engage myself learning more about marine engineering ships mechanism challenges involved and spending more time on working my body and staying fit
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Ships mechanism and the ocean has been my passion from childhood its a reliable career I love travelling and the lucrative salary
Why do you wish to join TMI?: One of the Prime maritime institution in the country and expecting a quality education and placements
What are your hobbies?: Fitness, drawing , writing, music , anime
What are your strengths?: Ability to set goals and achieve it through determination and hardwork
What are your weaknesses?: Not come across any short comings
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Birth certificate Class X marksheet School leaving certificate 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 ________________

 
Print Summary and Application Form