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: DEG21101608 Name: OMKAR DIGAMBER GAIKWAD
  Address: SAGAR APARTMENT CHINCHKHED ROAD PIMPALGAON BASWANT
Telephone No.: Mobile no: 7840907442
E-mail: omkarg6162@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: 13945785931
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21101608 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: DEG21101608
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: OMKAR DIGAMBER GAIKWAD
Mother's Name: SUJATA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Mar 2004 Nationality: INDIAN
Place of Birth: NASHIK Personal Identification Mark: MOLE NEAR RIGHT SIDE OF NOSE
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 26 Mar 2004 Nationality: INDIAN
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: SAGAR APARTMENT CHINCHKHED ROAD PIMPALGAON BASWANT
State: Maharashtra Country: India
Pin: 422209 City/District: NASHIK
Mobile no: 7840907442 Telephone No. with STD code:
Aadhar Card No:491057522142 E-mail: omkarg6162@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DIGAMBER PUNDLIK GAIKWAD Relationship with candidate: FATHER
Parents Date of Birth: 08 Jan 1977 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: SAGAR APARTMENT CHINCHKHED ROAD PIMPALGAON BASWANT
Country: India State: Maharashtra
City/District: NASHIK Pin: 422209
Tel: Mobile no.: 9604763915
Fax: Email: omkargaikwad704@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KENDRIYA VIDYALAYA AFS OJHAR NASIK MR School: KENDRIYA VIDYALAYA AFS OJHAR NASIK MR
City: NASHIK City: NASHIK
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: AIRFORCE STATION,OJHAR,NASHIK
  Centre code:
  Pin: 422207
  Contact Nos:
  Email: kendriyavidyalayaojhar@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number: CET21U1006722  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARING FOR COMPETITIVE EXAMINATION
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: MY DREAM IS TO JOIN MERCHANT NAVY
Why do you wish to join TMI?: BEST INSTITUTE FOR MARINE ENGINEERING
What are your hobbies?: PLAYING FOOTBALL
What are your strengths?: HARDWORKING WITH GOOD STAMINA
What are your weaknesses?: TO TRUST ANY ONE EASILY
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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