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.Tech. Marine Engineering
Dossier ID: DEG7067929 Name: Progyan Gogoi
  Address: Jorhat Hatichungi Gaon, Chenijan
Telephone No.: Mobile no: 7086287101
E-mail: progyangogoi913@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 408892278
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7067929 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.Tech. Marine Engineering
Dossier ID: DEG7067929
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Progyan Gogoi
Mother's Name: Monurama Gogoi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jun 2003 Nationality: Indian
Place of Birth: Assam Personal Identification Mark: Black spot on left hand
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 01 Jun 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Passport No.:
Date of Expiry: Place of Issue:
(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: Jorhat Hatichungi Gaon, Chenijan
State: Assam Country: India
Pin: 785010 City/District: Jorhat
Mobile no: 7086287101 Telephone No. with STD code:
Aadhar Card No: E-mail: progyangogoi913@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Luhit Gogoi Relationship with candidate: Father
Parents Date of Birth: 08 Aug 1960 Parent's/Guardian's Occupation/Designation: Retired ONGC Employee
   
Office Address:
   
Address: Jorhat Hatichungi Gaon, Chenijan
Country: India State: Assam
City/District: Jorhat Pin: 785010
Tel: Mobile no.: 9435715939
Fax: Email: luhitgogoi77@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Assam Board: Assam
School: SEBA School: Gurukul Shikshayatan Junior College
City: Sivasagar City: Jorhat
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: Jorhat Phukan Ali
  Centre code:
  Pin: 785010
  Contact Nos: 09435715939
  Email: luhitgogoi77@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 ?: My intentions after completing my 12th exams are to give myself a big relaxation and then to prepare myself for the upcoming scenarios to build my career.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: A degree in Nautical Science is the best option I could ever think of for my career. The endless sea gives me a vast challenges and opportunity. I shall be best suited for the career as I have been living away from home since my 10th exams.
Why do you wish to join TMI?: Tolani offers the best in infrastructure with maximum training, knowledge and placement percentage. Its my half way to success.
What are your hobbies?: Cycling, playing chess
What are your strengths?: Adaptation to different places.
What are your weaknesses?: Overconfidence.
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

 

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Date ________________

 
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