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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG7068552
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Swastik Routray
Mother's Name: Lillu Routray
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Aug 2003 Nationality: Indian
Place of Birth: Bhubaneswar Personal Identification Mark: Mole on neck
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 23 Aug 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Swastik Routray 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: SHANTIDHAM GARAGE SQUARE RADHAKRISHNA NAGAR LEWIS ROAD
State: Orissa Country: India
Pin: 751002 City/District: Bhubaneswar
Mobile no: 8917616155 Telephone No. with STD code: 06742342777
Aadhar Card No:747173990417 E-mail: swastikroutray.23@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Soubhagya Routray Relationship with candidate: Father
Parents Date of Birth: 15 Jul 1968 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: SHANTIDHAM GARAGE SQUARE LEWIS ROAD
Country: India State: Orissa
City/District: Bhubaneswar Pin: 751002
Tel: 06742342777 Mobile no.: 8917616155
Fax: Email: swastikroutray.23@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Orissa
School: ST XAVIER HIGH SCHOOL School: Buxi Jagabandhu Bidyadhar Higher Secondary School
City: Bhubaneswar City: Bhubaneswar
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Address of School/College: LEWIS ROAD BJB NAGAR BHUBANESWAR
  Centre code:
  Pin: 751014
  Contact Nos:
  Email: swastikroutray.23@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
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
05/2018 NATIONAL CADET CORPS CERTIFICATE A A
02/2021 Taekwondo Green belt 2nd
11/2017 Taekwondo Blue belt 1st
12/2017 Football Cluster level 2nd
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2016 Swimming 2 months
06/2015 Judo 6 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Daily heavy weight workouts
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have a dream of exploring every part of the world
Why do you wish to join TMI?: Because frankly it is one of the best institution providing good placements.
What are your hobbies?: Strength training
What are your strengths?: My strength is my confidence
What are your weaknesses?: My weakness is my emotion
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth 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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