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: DEG21101205 Name: Sanjay A S
  Address: Alekkaran house Perinjanam west Thrissur 680686
Telephone No.: Mobile no: 9633866486
E-mail: Sanjayas1332@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment 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 DEG21101205 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: DEG21101205
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sanjay A S
Mother's Name: Smitha P P
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Nov 2002 Nationality: India
Place of Birth: Thrissur Personal Identification Mark: Black mole on right arm biceps
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 05 Nov 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: Alekkaran house Perinjanam west Thrissur 680686
State: Kerala Country: India
Pin: 680686 City/District: Thrissur
Mobile no: 9633866486 Telephone No. with STD code:
Aadhar Card No: E-mail: Sanjayas1332@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Smitha P P Relationship with candidate: Mother
Parents Date of Birth: 18 Jun 1996 Parent's/Guardian's Occupation/Designation: House wife
   
Office Address:
   
Address: VISHAKAM PYPPIN STOP
Country: India State: Kerala
City/District: Thrissur Pin: 680686
Tel: 09947417586 Mobile no.: 9947417586
Fax: Email: smithasujeev05@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: M E S public school kodungallur School: S N Vidhya Bhavan chenthrappinni
City: Thrissur City: Thrissur
English %: 98 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Address of School/College: VISHAKAM PYPPIN STOP
  Centre code:
  Pin: 680686
  Contact Nos: 09947417586
  Email: smithasujeev05@gmail.com
  Aggregate Percentage: 91
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 87 87
Chemistry 100 89 89
Mathematics 100 88 88
Physics, Chemistry & Mathematics combined Percentage: 88
English 100 95 95
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2016 Karate National level Second
12/2016 Football State level Goal keeper
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Pisciculture activities, research about marine colleges and courses
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It was my passion and my house is near to beach
Why do you wish to join TMI?: Due to good placement history and best college for marine engineering in India
What are your hobbies?: Swimming, martial arts, playing football, cricket,
What are your strengths?: Family, high concentration power, good memorizing power
What are your weaknesses?: Hesitates to ask for help because I try to complete everything on my own,
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 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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