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: DEG21100979 Name: ROSHAN POLY
  Address: PONTHEMPILLY HOUSE CHENGAL,KALADY P.O, ERNAKULAM,
Telephone No.: Mobile no: 8281581895
E-mail: roshanpoly13@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: 13946146188
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21100979 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: DEG21100979
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ROSHAN POLY
Mother's Name: BEENA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jun 2003 Nationality: INDIAN
Place of Birth: ANGAMALY Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 13 Jun 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : ROSHAN POLY 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: PONTHEMPILLY HOUSE CHENGAL,KALADY P.O, ERNAKULAM,
State: Kerala Country: India
Pin: 683574 City/District: Ernakulam
Mobile no: 8281581895 Telephone No. with STD code:
Aadhar Card No:651491838698 E-mail: roshanpoly13@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: POLY P K Relationship with candidate: FATHER
Parents Date of Birth: 30 Jul 1962 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: PONTHEMPILLY HOUSE CHENGAL,KALADY P.O, ERNAKULAM,
Country: India State: Kerala
City/District: Ernakulam Pin: 683574
Tel: 08281581895 Mobile no.: 9847496754
Fax: Email: roshanpoly13@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Kerala
School: ST PATRICKS ACADEMY School: S.N.H.S.S OKKAL
City: Ernakulam City: PERUMBAVOOR
English %: 94 Board Roll No./Seat No.: 8152936
Aggregate Percentage: 92 School/College Code: 07064
  Address of School/College: S.N.H.S.S,OKKAL, PERUMBAVOOR ERNAKULAM KERALA
  Centre code:
  Pin: 683550
  Contact Nos:
  Email: snhssokkal@gmail.com
  Aggregate Percentage: 99
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 200 100
Chemistry 200 198 99
Mathematics 200 196 98
Physics, Chemistry & Mathematics combined Percentage: 99
English 100 100 100
   
IMU CET Application Number: CET21U1001789  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
09/2018 Marathon School level 13
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparations for higher studies.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Merchant Navy is a promising career. It provides the opportunity to explore the world and to be a part of the nations development. I believe this career is most suitable for my interest.
Why do you wish to join TMI?: TMI is the best and the most reputed college that provides quality education and training for this career.
What are your hobbies?: My hobbies are cycling, football and reading.
What are your strengths?: My strengths includes Adaptability, Team work, Leadership, Creativity and Critical thinking.
What are your weaknesses?: My weakness is nervousness in public speaking.
How do you intend to meet the expenses of this program?: 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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