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.Sc. Nautical Science
Dossier ID: DEG7068162 Name: sairaj appasaheb patil
  Address: room no.603 plot no.92/92 neel empress sector-1 s new panvel ,raigad ,maharashtra
Telephone No.: +919321525763 Mobile no: 9321525763
E-mail: sairajthegr8.69@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: 408741526
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068162 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.Sc. Nautical Science
Dossier ID: DEG7068162
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: sairaj appasaheb patil
Mother's Name: supriya patil
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Dec 2002 Nationality: Indian
Place of Birth: miraj Personal Identification Mark: mole on right thumb
Blood Group: B -  
 
Date of Birth (DD/MM/YY): 27 Dec 2002 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: room no.603 plot no.92/92 neel empress sector-1 s new panvel ,raigad ,maharashtra
State: Maharashtra Country: India
Pin: 410206 City/District: raigad
Mobile no: 9321525763 Telephone No. with STD code: +919321525763
Aadhar Card No:970338279142 E-mail: sairajthegr8.69@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: appasaheb patil Relationship with candidate: father
Parents Date of Birth: 15 Jul 1971 Parent's/Guardian's Occupation/Designation: assistant commissioner
   
Office Address:
   
Address: GST bhavan mazgoan 5th floor cabin no. e5
Country: India State: Maharashtra
City/District: mumbai Pin: 400010
Tel: 919892716328 Mobile no.: 9321525763
Fax: Email: sairajthegr8.69@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: DAV public school new panvel School: dav public school new panvel
City: panvel City: panvel
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: plot no.267/268sector 10 new panvel navi mumbai
  Centre code:
  Pin: 410202
  Contact Nos: 27451793
  Email: davnewpanvel@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 ?: I am very much intrested in sports and physical activities ,so i will focus on my physique
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: because being a part of merchent navy is always my dream ,and to pursue this dream i need to take degree in marine engeneering /nautical sci.
Why do you wish to join TMI?: i have heard from my seniors that the best collage for merchent navy is tolani maritime institute ,and a part of tmi is always great
What are your hobbies?: swimming ,cricket ,football etc
What are your strengths?: i am good at sports
What are your weaknesses?: -
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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