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: DEG21102432 Name: Shivam Rathore
  Address: Sec-18 Plot No 60/61 Dharti Complex A-502 Kamothe
Telephone No.: Mobile no: 8433845148
E-mail: rathoreshivam0403@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: 13974771131
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102432 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DEG21102432
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shivam Rathore
Mother's Name: Mithlesh Rathore
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Apr 2003 Nationality: Indian
Place of Birth: Navi Mumbai Personal Identification Mark: No
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 04 Apr 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: Sec-18 Plot No 60/61 Dharti Complex A-502 Kamothe
State: Maharashtra Country: India
Pin: 410206 City/District: Navi Mumbai
Mobile no: 8433845148 Telephone No. with STD code:
Aadhar Card No:400191064469 E-mail: rathoreshivam0403@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Om Prakash Rathore Relationship with candidate: Father
Parents Date of Birth: 06 Feb 1971 Parent's/Guardian's Occupation/Designation: Saturation diver
   
Office Address:
   
Address: Sec-18 Plot No 60/61 Dharti Complex A-502 Kamothe
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 410206
Tel: 09867589320 Mobile no.: 9867589320
Fax: Email: om_rathore12@yahoo.co.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: St Joseph high school School: Greenfingers global school
City: Navi Mumbai City: Navi Mumbai
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Address of School/College: Plot no-9, sec-12, Kharghar
  Centre code:
  Pin: 410210
  Contact Nos:
  Email: rathoreshivam0403@gmail.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 69 69
Mathematics 100 55 55
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 73 73
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for imu cet
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I want to persue merchant navy
Why do you wish to join TMI?: Because of its reputation
What are your hobbies?: Football
What are your strengths?: Team work
What are your weaknesses?: Lack of confidence
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport 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 ________________

 
Print Summary and Application Form