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.Sc. Nautical Science Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG21100248 Name: ASHYANTH J
  Address: KRISHNAKRIPA PRAYAR NORTH PRAYAR P O
Telephone No.: Mobile no: 7902649236
E-mail: ashyanth360924@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13905125991
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21100248 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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG21100248
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ASHYANTH J
Mother's Name: SHEEJA S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Oct 2003 Nationality: INDIAN
Place of Birth: KAYAMKULAM Personal Identification Mark: A SCAR ON THE CHEST
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 28 Oct 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: KRISHNAKRIPA PRAYAR NORTH PRAYAR P O
State: Kerala Country: India
Pin: 690547 City/District: ALAPPUZHA
Mobile no: 7902649236 Telephone No. with STD code:
Aadhar Card No:952815874537 E-mail: ashyanth360924@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JAYAN V M Relationship with candidate: FATHER
Parents Date of Birth: 10 May 1970 Parent's/Guardian's Occupation/Designation: EX SERVICE MAN
   
Office Address:
   
Address: KRISHNAKRIPA PRAYAR NORTH PRAYAR P O
Country: India State: Kerala
City/District: ALAPPUZHA Pin: 690547
Tel: Mobile no.: 7617720620
Fax: Email: ashyanthj6@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: ANGELS ARC SENIOR SECONDARY SCHOOL School: VISWABHARATHI MODEL HSS
City: KAYAMKUALM City: KAYAMKULAM
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: KRISHNAPURAM
  Centre code:
  Pin: 690533
  Contact Nos:
  Email: viswabharathihss@gmail.com
  Aggregate Percentage: 88
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 156 78
Chemistry 200 187 93.5
Mathematics 200 167 83.5
Physics, Chemistry & Mathematics combined Percentage: 85
English 100 100 100
   
IMU CET Application Number: CET21U1002258  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: COACHING
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: NAUTICAL SCIENCE
Why do you wish to join TMI?: SUGGESTIONS
What are your hobbies?: READING SPORTS
What are your strengths?: FAMILY
What are your weaknesses?: NIL
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded 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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