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: DEG21102553 Name: Samarth S Kumar
  Address: 2-80/2 Shree Samvriddhi Vaidyanatha Nagara Near Koragajja Katte, Jappinamogaru
Telephone No.: Mobile no: 8150813101
E-mail: 289suni@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: 13975554673
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG21102553 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: DEG21102553
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Samarth S Kumar
Mother's Name: Ambica k
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Mar 2003 Nationality: Indian
Place of Birth: Mangalore Personal Identification Mark: Mole on left hand
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 02 Mar 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: 2-80/2 Shree Samvriddhi Vaidyanatha Nagara Near Koragajja Katte, Jappinamogaru
State: Karnataka Country: India
Pin: 575009 City/District: Dakshina Kannada
Mobile no: 8150813101 Telephone No. with STD code:
Aadhar Card No:308239666291 E-mail: 289suni@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sunil Kumar Relationship with candidate: Father
Parents Date of Birth: 28 Sep 1971 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Mandovi Motors pvt. Ltd. Adyar Mangalore
Country: India State: Karnataka
City/District: Dakshina Kannada Pin: 575009
Tel: Mobile no.: 8150813101
Fax: Email: 289suni@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Karnataka
School: Sharada vidyanikethana public school Thalapady School: Sharada P U College
City: Mangalore City: Mangalore
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: Sharada P U College, S.K.D.B Campus , Kodialbail,
  Centre code:
  Pin: 575003
  Contact Nos:
  Email: sharadapucollege@yahoo.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 90 90
Chemistry 100 84 84
Mathematics 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 83.33
English 100 88 88
   
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 Swimming National School Games Participation
10/2017 Swimming CBSE south zone Bronze in 100m butterfly
10/2018 Swimming CBSE South zone 3rd in 100m butterfly u17 boys
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Interning
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It has been my field of interest and I have been preparing well for it with a lot of dedication
Why do you wish to join TMI?: TMI is the among the top institutions for Marine Engineering/ Nautical science in the whole country of India
What are your hobbies?: Swimming , reading
What are your strengths?: I am a quick learner and a good decision maker
What are your weaknesses?: Fake people
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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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