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.Tech. Marine Engineering
Dossier ID: DEG7067861 Name: Test Account
  Address: line1 line2 line3
Telephone No.: Mobile no: 9422303692
E-mail: anil@calpaq.in  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7067861 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.Tech. Marine Engineering
Dossier ID: DEG7067861
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Test Account
Mother's Name: Mother
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Sep 2000 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: NA
Blood Group: A -  
 
Date of Birth (DD/MM/YY): 06 Sep 2000 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport Name Passport No.: PASS00345
Date of Expiry: 04 Feb 2021 Place of Issue: Pune
(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: line1 line2 line3
State: Maharashtra Country: India
Pin: 411009 City/District: pune
Mobile no: 9422303692 Telephone No. with STD code:
Aadhar Card No: E-mail: anil@calpaq.in
 
Guardian's Particulars:
 
Name of Parent/Guardian: Guardian Name Relationship with candidate: Guardian
Parents Date of Birth: 02 Feb 1996 Parent's/Guardian's Occupation/Designation: Designation of Guardian
   
Office Address:
   
Address: Oline1 Oline2
Country: India State: Maharashtra
City/District: pune Pin: 411009
Tel: 25243545 Mobile no.: 3242342343
Fax: Email: anil@calpaq.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020 (Appearing for improvement)
Board: Assam Board: Goa
School: bohar school School: college name
City: pune City: pune
English %: 89 Board Roll No./Seat No.: 3243543
Aggregate Percentage: 87 School/College Code: 3254535
  Address of School/College: test
  Centre code: 4353645
  Pin: 324543
  Contact Nos:
  Email: aschool@email.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 45 45
Chemistry 100 66 66
Mathematics 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 88 88
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: aa
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: bb
Why do you wish to join TMI?: cc
What are your hobbies?: dd
What are your strengths?: ee
What are your weaknesses?: ff
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

___________________

Date ________________

 
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