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: DEG21100887 Name: SUBHRA SOURAV BEHERA
  Address: N1/17 IRC VILLAGE NAYAPALLI BHUBANESWAR ,RAGHUNATH COMPLEX N1/17 IRC VILLAGE NAYAPALLI BHUBANESWAR ,RAGHUNATH COMPLEX
Telephone No.: Mobile no: 7077063014
E-mail: subhrasouravbehera@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21100887 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: DEG21100887
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SUBHRA SOURAV BEHERA
Mother's Name: PRAMILA BEHERA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Dec 2002 Nationality: INDIA
Place of Birth: BHUBANESWAR Personal Identification Mark: BLACK SPOT ON BOTH SIDE OF HEAD
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 20 Dec 2002 Nationality: INDIA
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: N1/17 IRC VILLAGE NAYAPALLI BHUBANESWAR ,RAGHUNATH COMPLEX N1/17 IRC VILLAGE NAYAPALLI BHUBANESWAR ,RAGHUNATH COMPLEX
State: Orissa Country: India
Pin: 751015 City/District: BHUBANESWAR
Mobile no: 7077063014 Telephone No. with STD code:
Aadhar Card No: E-mail: subhrasouravbehera@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAM KISHOR BEHERA Relationship with candidate: FATHER
Parents Date of Birth: 09 Sep 1977 Parent's/Guardian's Occupation/Designation: BUSSINESS
   
Office Address:
   
Address: N1/17 IRC VILLAGE NAYAPALLI BHUBANESWAR ,RAGHUNATH COMPLEX N1/17 IRC VILLAGE NAYAPALLI BHUBANESWAR ,RAGHUNATH COMPLEX
Country: India State: Orissa
City/District: BHUBANESWAR Pin: 751015
Tel: Mobile no.: 7655825961
Fax: Email: subhrasouravbehera@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: STEWART SCHOOL School: STEWART SCHOOL
City: BHUBANESWAR City: BHUBANESWAR
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: CRP Rd, Unit VIII, CRP Square, Bhubaneswar, Odisha
  Centre code:
  Pin: 751012
  Contact Nos:
  Email: stewartbbsr@gmail.com
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 80 80
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 79
English 100 88 88
   
IMU CET Application Number: CET21U1015016  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: USED TO SPEND MOST OF MY TIME READING BOOK 0F SWAMI MUKUDANANDA AND MANY OTHER ACTIVITIES LIKE PLAYING CRICKET WITH MY BROTHER AND FRIENDS IN OUR TERRACE BECOZ OF COVID 19 .
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: WHEN I WAS YOUNG I HAVE HEARD ABOUT THIS PROFESSION AND I LIKE IT AND FROM THAT DAY ONWARS I WNT TO JOIN MERCHANT NAVY .AND I THINK IM BETTER IN NAVIGATIONS IF NOT THEN IF I GOT SELECTED I WILL DEFINETLY DO MY BEST .
Why do you wish to join TMI?: I LOVE THE CAMPUS AS I SEEN IN GOOGLE .
What are your hobbies?: READING BOOKS AND PLAYING DIFFERNT OUTDOOR GAMES .
What are your strengths?: I M GOOD CONVINCEING PEOPLE AND I WAS EMOTIONALLY STRONG AND NOT OF GIVING UP .
What are your weaknesses?: FEAR OF GIVING UP
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
 
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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