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.Sc. Nautical Science
Dossier ID: DEG21101130 Name: Manav Bhist
  Address: 304 ghatprabha building Shivalik nagar Near Ranu gas godown b cabin Road ambernath east
Telephone No.: 09284007884 Mobile no: 9284007884
E-mail: bhistmanav11@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: 13943840532
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21101130 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.Sc. Nautical Science
Dossier ID: DEG21101130
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Manav Bhist
Mother's Name: Kamla
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Aug 2004 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Left elbow
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 17 Aug 2004 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MANAV RAJESH BHIST Passport No.: T4063358
Date of Expiry: 16 Aug 2022 Place of Issue: Mumbai
(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: 304 ghatprabha building Shivalik nagar Near Ranu gas godown b cabin Road ambernath east
State: Maharashtra Country: India
Pin: 421301 City/District: Thane
Mobile no: 9284007884 Telephone No. with STD code: 09284007884
Aadhar Card No:288102683930 E-mail: bhistmanav11@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Bhist Relationship with candidate: Father
Parents Date of Birth: 18 Jun 1977 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: Poddar Evergreen complex Near juveli Bridge Kalyan- karjat road Samriddhi Evergreen, Badlapur
Country: India State: Maharashtra
City/District: Kalyan Pin: 421301
Tel: 07350134124 Mobile no.: 7350134124
Fax: Email: bhist.bhist@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Bk Birla Public School kalyan School: Bk Birla Public School kalyan
City: Kalyan City: Kalyan
English %: 91 Board Roll No./Seat No.: 15627007
Aggregate Percentage: 92 School/College Code:
  Address of School/College: Bk Birla Public School near Birla college road Kalyan thane
  Centre code:
  Pin: 421301
  Contact Nos: 02512230623
  Email: contact@birlaschoolkalyan.com
  Aggregate Percentage: 92
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 91 91
Chemistry 100 94 94
Mathematics 100 88 88
Physics, Chemistry & Mathematics combined Percentage: 91
English 100 92 92
   
IMU CET Application Number: 6006421  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2014 Football State Runner ups
05/2014 Football State Second runner up
08/2017 Football Intramural 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing several courses like mscit. Spending time in fitness, playing sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As everytime we have to be in uniform and it is pride for us
Why do you wish to join TMI?: Because it has a good placement percentage. A big campus and very well faculty
What are your hobbies?: Playing sports, typing on computer
What are your strengths?: My strength is my confidence
What are your weaknesses?: There is no such weakness other than weight
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

 

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Date ________________

 
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