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: DEG21101175 Name: SHREYA DHANAJI WAGH
  Address: ANU-SHANKAR NIWAS MAIN ROAD LAXMI NAGAR MALKAPUR KARAD
Telephone No.: Mobile no: 8999131272
E-mail: drdhananjaywagh@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: 13929927210
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21101175 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: DEG21101175
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHREYA DHANAJI WAGH
Mother's Name: LATA DHANAJI WAGH
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Dec 2003 Nationality: INDIAN
Place of Birth: KOLHAPUR Personal Identification Mark: BLACK MOL ON FRONT OF NECK
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 27 Dec 2003 Nationality: INDIAN
Gender (M/F): Female 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: ANU-SHANKAR NIWAS MAIN ROAD LAXMI NAGAR MALKAPUR KARAD
State: Maharashtra Country: India
Pin: 415539 City/District: MALKAPUR KARAD SATARA
Mobile no: 8999131272 Telephone No. with STD code:
Aadhar Card No:816877876670 E-mail: drdhananjaywagh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DHANAJI TANAJI WAGH Relationship with candidate: FATHER
Parents Date of Birth: 21 Jun 1975 Parent's/Guardian's Occupation/Designation: B.H.M.S. M.SC. ANAOMY
   
Office Address:
   
Address: DEPARTMENT OF ANATOMY D Y PATIL MEDICAL COLLEGE KOLHAPUR KASABA BAWADA KOLHAPUR
Country: India State: Maharashtra
City/District: KOLHAPUR Pin: 415006
Tel: Mobile no.: 8999131272
Fax: Email: drdhananjaywagh@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: KRISHNA ENGLISH MEDIUM SCHOOL AND JR COLLEGE KARAD School: SHRI HANUMANTRAO CHATEJR.COLLEGE OF SCIENCE
City: KARAD City: SATARA
English %: 66 Board Roll No./Seat No.: X000813
Aggregate Percentage: 77 School/College Code: X
  Address of School/College: SATARA
  Centre code: X
  Pin: 415002
  Contact Nos: 08999131272
  Email: drdhananjaywagh@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 82 82
Chemistry 100 88 88
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 84.67
English 100 76 76
   
IMU CET Application Number: CET21U1014551  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION FOR MH-CET2021
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: MY EDUCATIONAL AIM
Why do you wish to join TMI?: WELL KNOWN FOR PLACEMENT
What are your hobbies?: READING AND WATCHING TV/MOBILE
What are your strengths?: ACHIVEMENT
What are your weaknesses?: SLEEP
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

 

___________________

Date ________________

 
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