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: DEG7068364 Name: STEVE NERIN FRANCIS
  Address: PLOT NO 9, SURVEY NO 99 BEHIND BLISS COMPLEX SOLAPUR ROAD, KOMBDIWALA MALA
Telephone No.: 02412324146 Mobile no: 9764263146
E-mail: colnpf@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 409957372
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068364 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: DEG7068364
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: STEVE NERIN FRANCIS
Mother's Name: ESTHER NERIN FRANCIS
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jun 2003 Nationality: INDIAN
Place of Birth: BHATINDA Personal Identification Mark: MOLE ON THE RIGHT SIDE OF NOSE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 19 Jun 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: PLOT NO 9, SURVEY NO 99 BEHIND BLISS COMPLEX SOLAPUR ROAD, KOMBDIWALA MALA
State: Maharashtra Country: India
Pin: 414001 City/District: Ahmednagar
Mobile no: 9764263146 Telephone No. with STD code: 02412324146
Aadhar Card No:611904945670 E-mail: colnpf@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: COL N P FRANCIS Relationship with candidate: FATHER
Parents Date of Birth: 03 Oct 1957 Parent's/Guardian's Occupation/Designation: OFFICER-IN-CHARGE ECHS POLYCLINIC
   
Office Address:
   
Address: ECHS POLYCLINIC.AHMEDNAGAR C/O MILITARY HOSPITAL, AHMEDNAGAR
Country: India State: Maharashtra
City/District: Ahmednagar Pin: 414001
Tel: 02412324146 Mobile no.: 9850063429
Fax: Email: steveenfrancis19@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: ARMY PUBLIC SCHOOL School: ARMY PUBLIC SCHOOL
City: Ahmednagar City: Ahmednagar
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Address of School/College: AC CENTRE AND SCHOOL JAMKHED ROAD AHMEDNAGAR
  Centre code:
  Pin: 414002
  Contact Nos: 02412324146
  Email: steveenfrancis19@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2021 INTERNATIONAL ENGLISH OLYMPIAD INTERNATIONAL 1ST
06/2020 APPOINTED AS SCHOOL CAPTAIN SCHOOL LEVEL HEAD BOY
01/2018 TIMESSPARK READ TO LEAD NATIONAL PLATINUM CERTIFICATE
08/2018 BEST DELEGATE MODEL UNITED NATIONS SCHOOL LEVEL BEST DELEGATE
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepare myself for the IMU CET. I would like to utilise my time in a useful vocational course like Computer courses. I will also strive to keep myself physically fit. I would like to explore unexplored places.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I feel it will be a good option for me as I would like to have a career as a sea farer. I am also interested in visiting the sea shores as I was always enthralled with the mysteries of the sea.
Why do you wish to join TMI?: TMI is one of the most prestigious institutions I have heard of which can groom me holistically in all spheres of life and make me a good officer on ships. Moreover, the reviews I read about the institution is encouraging for me to dream about a better future. I would like to study and pursue my endeavours in the presence of an excellent faculty and a studious and a disciplined environment.
What are your hobbies?: My hobby is gardening, exploring places, and cycling.
What are your strengths?: I am patient, courageous, possess good leadership qualities and humility. I am highly disciplined and hardworking.
What are your weaknesses?: I like to adhere to deadlines.
How do you intend to meet the expenses of this program?: Own Resources,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

 

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Date ________________

 
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