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.Sc. Nautical Science
Dossier ID: DEG21102285 Name: Kushagra Thevar
  Address: 102,B-Wing,Kisan Apt, Chinch Aali Modak Nagar, Neral
Telephone No.: 9820734662 Mobile no: 9820734662
E-mail: ku16shagra@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: 13967088914
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102285 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.Sc. Nautical Science
Dossier ID: DEG21102285
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kushagra Thevar
Mother's Name: Prema
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Oct 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: No Mark
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 16 Oct 2003 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: 102,B-Wing,Kisan Apt, Chinch Aali Modak Nagar, Neral
State: Maharashtra Country: India
Pin: 410101 City/District: Karjat
Mobile no: 9820734662 Telephone No. with STD code: 9820734662
Aadhar Card No:800609240957 E-mail: ku16shagra@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Nambiraj Thevar Relationship with candidate: Father
Parents Date of Birth: 10 Dec 1968 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Kala Ganpati Temple ,J.S.D Rd, Near Mulund Court, . Mulund West, Mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 400080
Tel: 09769635044 Mobile no.: 9769635044
Fax: Email: nambiraj68@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Vani Vidyalaya School: M.J College Of Science
City: Mumbai City: Mumbai
English %: 67 Board Roll No./Seat No.: M019295
Aggregate Percentage: 66 School/College Code:
  Address of School/College: Gopal Nagar, Gaodevi, Badlapur, Maharashtra
  Centre code:
  Pin: 421503
  Contact Nos: 9870238716
  Email: mjcollegeofscience@gmail.com
  Aggregate Percentage: 93
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 95 95
Chemistry 100 92 92
Mathematics 100 92 92
Physics, Chemistry & Mathematics combined Percentage: 93
English 100 89 89
   
IMU CET Application Number: CET21U1009481  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2018 Sea Cadet Corps 4 Years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Job
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As i am having interest for it so i can do my best for it.
Why do you wish to join TMI?: I want to study it from the best institute so i can do well in my career.
What are your hobbies?: Listening Music, Reading Books
What are your strengths?: Decision making ability, working in a team.
What are your weaknesses?: A bit Careless, Anger.
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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