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: DEG21102360 Name: Dileep Paul
  Address: Vallopattill house 136
Telephone No.: 9400498772 Mobile no: 9400498772
E-mail: dileepkalliserry@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: 13984607143
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102360 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: DEG21102360
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dileep Paul
Mother's Name: ELSAMMA DINESH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Sep 2003 Nationality: India
Place of Birth: THIRUVALLA Personal Identification Mark: A black mole on the left side of the cheek
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 01 Sep 2003 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: Vallopattill house 136
State: Kerala Country: India
Pin: 689124 City/District: Alappuzha
Mobile no: 9400498772 Telephone No. with STD code: 9400498772
Aadhar Card No:316782606303 E-mail: dileepkalliserry@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dinesh Kumar Relationship with candidate: Father
Parents Date of Birth: 02 Feb 1970 Parent's/Guardian's Occupation/Designation: Launch mechanic
   
Office Address:
   
Address: Qatar shipping company Milaha.
Country: India State: Kerala
City/District: doha Pin: 689124
Tel: 9495016772 Mobile no.: 9400498772
Fax: Email: dileepkalliserry@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Kerala Board: Kerala
School: Swami Vivekanand High school School: Vocational higher secondary school
City: Chengannur City: Chengannur
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: Kalliserry, Chengannur
  Centre code:
  Pin: 689124
  Contact Nos: 9495016772
  Email: dileepkalliserry@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 134 67
Chemistry 200 159 79.5
Mathematics 200 128 64
Physics, Chemistry & Mathematics combined Percentage: 70.17
English 100 59 59
   
IMU CET Application Number: CET21U1001851  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spent time with studying spoken English. I joined in an academy called English mithra.there I spend most of my time after my final exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: TMI is one of the top college in India and have a good placement record.
What are your hobbies?: Playing football., listening music
What are your strengths?: Willpower
What are your weaknesses?: Stage fight
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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