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: DEG7068317 Name: CHANDRA BHUSHAN PATHAK
  Address: VILL, PO- POHADDI VIA BENIPUR PS- BAHERA
Telephone No.: Mobile no: 9007775753
E-mail: pathakcb786@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: 409424727
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068317 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: DEG7068317
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: CHANDRA BHUSHAN PATHAK
Mother's Name: MAMATA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Jan 2001 Nationality: INDIAN
Place of Birth: BENIPUR Personal Identification Mark: MOLE ON NECK
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 17 Jan 2001 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : CHANDRA BHUSHAN PATHAK Passport No.: U3141038
Date of Expiry: 14 Jun 2030 Place of Issue: PATNA
(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: VILL, PO- POHADDI VIA BENIPUR PS- BAHERA
State: Bihar Country: India
Pin: 847103 City/District: DARBHANGA
Mobile no: 9007775753 Telephone No. with STD code:
Aadhar Card No:658060532526 E-mail: pathakcb786@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHASHI KANT PATHAK Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1976 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: VILL, PO -POHADDI VIA BENIPUR PS- BAHERA
Country: India State: Bihar
City/District: DARBHANGA Pin: 847103
Tel: Mobile no.: 8272929545
Fax: Email: neerajpathak999999@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2020
Board: CBSE Board: CBSE
School: MAHATMA GANDHI SIKSHAN SANSTHAN School: PRIVATE CANDIDATE
City: DARBHANGA City: DARBHANGA
English %: 95 Board Roll No./Seat No.: 22611815
Aggregate Percentage: 95 School/College Code: 99999
  Address of School/College: DARBHANGA
  Centre code: 6540
  Pin: 847103
  Contact Nos:
  Email: dadak2008@gmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 60 60
Mathematics 100 48 48
Physics, Chemistry & Mathematics combined Percentage: 60
English 100 80 80
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPAREING FOR THE ENTRANCE TOLANI MARITIME INSTITUTE
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I HAVE CHOOSEN IT AFTER MY 10TH COURSE AND ONE OF MY RELATIVE IS WORKING AS A SECOND ENGINEER IN MARINE
Why do you wish to join TMI?: I WANT MY CARRER IN MARINE SO I WISH TO JOIN
What are your hobbies?: PLAYING INDOOR GAMES
What are your strengths?: TO WORK IN A TEAM, MOTIVATE AND ENERGISE THE SUBORDINATES
What are your weaknesses?: I AM LITTLE BIT SHY BUT I HAVE STARTED WORKING ON IT
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card Class XII marksheet
 
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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