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: DEG7068088 Name: RISHAN ROYSON DSOUZA
  Address: c/o Ms PALLAVI KHADE, PRISTINE PROFILE PHASE 1 G BLOCK, FLAT NO 206 SHANKAR KALTE NAGAR , OFF NH 4, WAKAD , PUNE
Telephone No.: 07893530267 Mobile no: 7893530267
E-mail: roshanmd18@yahoo.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 411513603
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068088 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG7068088
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RISHAN ROYSON DSOUZA
Mother's Name: RESHMA DSOUZA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Nov 2003 Nationality: INDIAN
Place of Birth: MANGALURU Personal Identification Mark: BLACK MOLE NEAR THE RIGHT COLLAR BONE
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 13 Nov 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : RISHAN ROYSON DSOUZA Passport No.: R9086929
Date of Expiry: 12 Nov 2021 Place of Issue: BENGALURU
(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: c/o Ms PALLAVI KHADE, PRISTINE PROFILE PHASE 1 G BLOCK, FLAT NO 206 SHANKAR KALTE NAGAR , OFF NH 4, WAKAD , PUNE
State: Maharashtra Country: India
Pin: 411057 City/District: PUNE
Mobile no: 7893530267 Telephone No. with STD code: 07893530267
Aadhar Card No:619521328094 E-mail: roshanmd18@yahoo.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ROSHAN MARCEL DSOUZA Relationship with candidate: FATHER
Parents Date of Birth: 01 Nov 1973 Parent's/Guardian's Occupation/Designation: SERVICE - CLUSTER PRINCIPAL
   
Office Address:
   
Address: VIBGYOR HIGH ROYAL PLACID, HARALUR MAIN ROAD HSR EXTENTION, BENGALURU
Country: India State: Karnataka
City/District: BENGALURU Pin: 560102
Tel: Mobile no.: 7893530267
Fax: Email: roshanmd18@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: VIBGYOR HIGH School: VIBGYOR HIGH
City: BENGALURU City: BENGALURU
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: VARTHUR, MARATHAHALLI, BENGALURU
  Centre code:
  Pin: 560066
  Contact Nos:
  Email: helpdesk.vh15102@vibgyorhigh.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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2012 SKATING DISTRICT SECOND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to explore more about Marine Engineering and make necessary preparations along with spending my time on my hobbies.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It matches my interest area and I find Marine engineering provides a good and flexible career option.
Why do you wish to join TMI?: Because it is one of the best institutes in India with good infrastructure and placement guarantee. Few of my friends and relatives also strongly recommended TMI when I shared my plan of pursuing Marine Engineering.
What are your hobbies?: Playing Badminton, Skating, Cycling, Swimming, Painting, Travelling
What are your strengths?: Creativity, Determination, Honesty, Socialization, Skating
What are your weaknesses?: Public speaking
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Your passport 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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