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: DEG7068307 Name: OMKAR VILAS GOTAWALE
  Address: A-603 BA Vermont Society, Opp Savanna Society Wagholi, Pune 412206, MAHARASHTRA
Telephone No.: Mobile no: 9373089639
E-mail: r_gotawale@yahoo.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 409309107
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068307 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: DEG7068307
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: OMKAR VILAS GOTAWALE
Mother's Name: JYOTI VILAS GOTAWALE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 May 2003 Nationality: INDIAN
Place of Birth: NANDED Personal Identification Mark: Mole on left palm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 24 May 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: A-603 BA Vermont Society, Opp Savanna Society Wagholi, Pune 412206, MAHARASHTRA
State: Maharashtra Country: India
Pin: 412206 City/District: Pune
Mobile no: 9373089639 Telephone No. with STD code:
Aadhar Card No:572339882030 E-mail: r_gotawale@yahoo.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJAY HARIBBA GOTAWALE Relationship with candidate: Nephew
Parents Date of Birth: 21 Apr 1975 Parent's/Guardian's Occupation/Designation: Engineer
   
Office Address:
   
Address: Mumbai Mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 400009
Tel: Mobile no.: 9765080976
Fax: Email: rig262@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board:
School: MOUNT ST. PATRICK ACADEMY School: SRI CHAITANYA JUNIOR COLLEGE
City: Pune City: Hayathnagar
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Address of School/College: Hayathnagar, Ranga Reddy District, Hyderabad, Telengana.
  Centre code:
  Pin: 501505
  Contact Nos:
  Email: webmaster@srichaitanya.net
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150
Chemistry 150
Mathematics 300
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 will be getting prepared for the upcoming challenges Till completion of degree with a Positive mindset.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is an good option because i think i can perform great And give my best in this stream. I feel there is great Scope in it.
Why do you wish to join TMI?: Tolani has huge campus and has all the facilities for the students, greater experienced staff and good faculty.
What are your hobbies?: Playing Cricket, Football and other sports
What are your strengths?: I am focused till i achieve my aim
What are your weaknesses?: I have too much of Patience
How do you intend to meet the expenses of this program?: Other - Guardians Resource
 
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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