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.Tech. Marine Engineering
Dossier ID: DEG21101037 Name: PATEL JAYSHEELKUMAR JAGDISH
  Address: H.N0 772, SARANAGAR
Telephone No.: 02875 253043 Mobile no: 9833021575
E-mail: pateljagdish75@yahoo.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13929855545
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21101037 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.Tech. Marine Engineering
Dossier ID: DEG21101037
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PATEL JAYSHEELKUMAR JAGDISH
Mother's Name: NIRUPABEN JAGDISH PATEL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Mar 2003 Nationality: INDIAN
Place of Birth: GHOGHLA-DIU Personal Identification Mark: CUT MARK NEAR RIGHT EYE
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 27 Mar 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : PATEL JAYSHEEL JAGDISH Passport No.: S0351643
Date of Expiry: 26 Mar 2021 Place of Issue: AHMEDABAD
(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: H.N0 772, SARANAGAR
State: Other Country: India
Pin: 362540 City/District: DIU
Mobile no: 9833021575 Telephone No. with STD code: 02875 253043
Aadhar Card No:393493874466 E-mail: pateljagdish75@yahoo.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JAGDISH GOKAL PATEL Relationship with candidate: FATHER
Parents Date of Birth: 20 Aug 1975 Parent's/Guardian's Occupation/Designation: SEAMAN
   
Office Address:
   
Address: H.No 772, SARANAGAR GHOGHLA-DIU
Country: India State: Other
City/District: DIU Pin: 362540
Tel: 02875253043 Mobile no.: 9833021575
Fax: Email: pateljagdish75@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Gujarat Board: Gujarat
School: ST JOSEPHS SCHOOL School: GYANMANJARI VIDYAPITH
City: UNA City: BHAVNAGAR
English %: 81 Board Roll No./Seat No.: B110639
Aggregate Percentage: 74 School/College Code:
  Address of School/College: GYANMANJARI VIDYAPITH, KALVIBID, BHAVNAGAR, GUJARAT
  Centre code: 011
  Pin: 364001
  Contact Nos: 9099941251
  Email: admin@gyanmanjarividyapith.edu.in
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 125 83.33
Chemistry 150 126 84
Mathematics 100 65 65
Physics, Chemistry & Mathematics combined Percentage: 77.44
English 100 84 84
   
IMU CET Application Number: CET21U1014534  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2017 TABLE TENNIS UNDER 17 SECOND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: LOOKING FORWARD TO SOME GOOD COLLEGES
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: IT IS GOOD FOR ME AS I HAVE SET MY GOAL TO BE A CHIEF ENGINEER.
Why do you wish to join TMI?: TO BE A ENGINEER
What are your hobbies?: INDOOR GAMES
What are your strengths?: FAMILY
What are your weaknesses?: FAMILY
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 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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