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: DEG7068108 Name: Elvis Manuel Dosuza
  Address: Eden park ,Viman Nagar , B-604 Ganpati Mandir chowk , Viman nagar Pune-411014
Telephone No.: Mobile no: 7249827656
E-mail: elvisdsouza969@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: 408089066
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068108 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: DEG7068108
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Elvis Manuel Dosuza
Mother's Name: Bastina
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Dec 2002 Nationality: India
Place of Birth: Pune Personal Identification Mark: Mole right arm
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 30 Dec 2002 Nationality: India
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: Eden park ,Viman Nagar , B-604 Ganpati Mandir chowk , Viman nagar Pune-411014
State: Maharashtra Country: India
Pin: 411014 City/District: Pune
Mobile no: 7249827656 Telephone No. with STD code:
Aadhar Card No:518505766786 E-mail: elvisdsouza969@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BASTINA Dsouza Relationship with candidate: Son
Parents Date of Birth: 13 Mar 1975 Parent's/Guardian's Occupation/Designation: Admin officer in TCS
   
Office Address:
   
Address: S.No 238/239,Quadra 2 Opposite Magarpatta city, Hadapsar
Country: India State: Maharashtra
City/District: Pune Pin: 411028
Tel: Mobile no.: 9881082983
Fax: Email: bastina.dsouza@tcs.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Maharashtra
School: The bishops Co- Ed school kalyani nagar School: Arham junior college
City: Pune City: Pune
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: 2nd Floor, Shaheen Complex, Adjacent to Azam Campus Gate No. 4, New Modikhana Road, Pune, Maharashtra 411001
  Centre code:
  Pin: 411001
  Contact Nos:
  Email: admissions@arhamedu.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 ?: Learn guitar and start my football practises
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I want to travel the world and get recognised by my work and qualities
Why do you wish to join TMI?: TMI has the best faculties and facilities for their students.
What are your hobbies?: Athletics, art, football , singing
What are your strengths?: Leadership qualities, hardworking, problem solving
What are your weaknesses?: Stage fright
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

 

___________________

Date ________________

 
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