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.Sc. Nautical Science Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG7068516 Name: Jeethu Josy
  Address: Vettickattu,Pazhayidom PO Kanjirapally,Kottayam
Telephone No.: 04828-262118 Mobile no: 9995956444
E-mail: jeethujosyvettickattu@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 413291821
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068516 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
Marine Engineering / Nautical Science Degree Programmes
(New Admission B.Tech. Marine Engineering / B.Sc. Nautical Science )

APPLICATION FOR ADMISSION - 2021

 
Course: First Choice B.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG7068516
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Jeethu Josy
Mother's Name: Saritha Francis
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Aug 2003 Nationality: Indian
Place of Birth: Pazhayidom Personal Identification Mark: Black mole under the lip
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 16 Aug 2003 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : Jeethu Josy Passport No.: U9488700
Date of Expiry: 14 Feb 2031 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: Vettickattu,Pazhayidom PO Kanjirapally,Kottayam
State: Kerala Country: India
Pin: 686520 City/District: Kottayam
Mobile no: 9995956444 Telephone No. with STD code: 04828-262118
Aadhar Card No:7581 3185 8442 E-mail: jeethujosyvettickattu@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Josy Dominic Relationship with candidate: Father
Parents Date of Birth: 28 May 1971 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Matha concrete Industries Pazhayidom Kanjirapally
Country: India State: Kerala
City/District: Kottayam Pin: 686520
Tel: Mobile no.: 9995956444
Fax: Email: jeethusaps@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: St.Antonys Public School Anakkal School: St Antonys Public School Anakkal
City: Kanjirapally City: Kanjirapally
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Address of School/College: St Antonys Public School Anakkal Kanjirapally Kottayam
  Centre code:
  Pin: 686508
  Contact Nos: 04828202669
  Email: sajca@bsnl.in
  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 ?: Preparing for my IMU-CET and TMI exam Travelling Spenting time with family Joining swimming class
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it enables us to be a good sailor so that I can travel a lot and explore the world around me And enables me to take great responsibilities at a young age
Why do you wish to join TMI?: I had seen many great reviews about this great institute in internet and TMI gives a great opportunity to girls by giving many scholarships
What are your hobbies?: Travelling, stamp collection
What are your strengths?: Teamwork, hardworking
What are your weaknesses?: Get bored very quickly
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth 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

 

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Date ________________

 
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