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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AUGUSTINE PRATHEETH D SILVA
Mother's Name: Stella Vinutha DSouza
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Apr 2003 Nationality: Indian
Place of Birth: MYSORE Personal Identification Mark: MOLe on the left side of the nose
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 01 Apr 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Augustine Pratheeth D Silva 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: 115, VIVEKANANDA BLOCK TEACHERS LAYOUT NEAR MOULANA AZAD SCHOOL
State: Karnataka Country: India
Pin: 570029 City/District: MYSORE
Mobile no: 9964588653 Telephone No. with STD code:
Aadhar Card No:261765352146 E-mail: augustinepratheethdsilva@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Stella Vinutha D Souza Relationship with candidate: Mother
Parents Date of Birth: 10 Jan 1981 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: De Paul International Residential School Belagola Srirangapatana
Country: India State: Karnataka
City/District: MANDYA Pin: 571438
Tel: Mobile no.: 9964588653
Fax: Email: stellavinu@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: De Paul International Residential School School: De Paul International Residential School
City: MANDYA City: MANDYA
English %: 91 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Address of School/College: De Paul International Residential School Belagola Srirangapatana
  Centre code:
  Pin: 571438
  Contact Nos: 09964588653
  Email: stellavinu@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 ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
Review you documents:
Birth certificate not uploaded Class X marksheet not uploaded School leaving certificate not uploaded 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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