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: DEG7068043 Name: NILESH KUMAR
  Address: VILLAGE KHEMCHAND BIGHA POST KETAKI PS DEO
Telephone No.: Mobile no: 9304899480
E-mail: nileshkumar912832@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 410137292
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068043 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: DEG7068043
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NILESH KUMAR
Mother's Name: PUSHPA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2003 Nationality: INDIAN
Place of Birth: AURANGABAD Personal Identification Mark: A MOLE ON RIGHT NECK
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 01 Jan 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: VILLAGE KHEMCHAND BIGHA POST KETAKI PS DEO
State: Bihar Country: India
Pin: 824216 City/District: AURANGABAD
Mobile no: 9304899480 Telephone No. with STD code:
Aadhar Card No:590016313378 E-mail: nileshkumar912832@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJESH CHOURASIA Relationship with candidate: FATHER
Parents Date of Birth: 31 Mar 1968 Parent's/Guardian's Occupation/Designation: PRIVAET JOB
   
Office Address:
   
Address: USAH MARTIN ARA GATE TATISILWAI MAHILLONG RANCHI JHARKHAND
Country: India State: Jharkhand
City/District: RANCHI Pin: 835103
Tel: Mobile no.: 8294516251
Fax: Email: nileshkumar912832@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: SARVODAYA NIKETAN PO KUJU RAMGARH HAZARIBAGH JH School: S B PUB SCHL ARRA MAHILONG KHIJRI RANCHI JH
City: HAZARIBAGH City: RANCHI
English %: 78 Board Roll No./Seat No.: 22714007
Aggregate Percentage: 80 School/College Code: 66465
  Address of School/College: ARRA MAHILONG KHIJRI RANCHI JH
  Centre code: 6859
  Pin: 835103
  Contact Nos:
  Email: nileshkumar912832@gmail.com
  Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 81 81
Mathematics 100 56 56
Physics, Chemistry & Mathematics combined Percentage: 68
English 100 90 90
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: STUDY
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: BECAUSE IT GIVE 100 PERCENT PLACEMENT
What are your hobbies?: TO PLAY SPORTS
What are your strengths?: STUDY
What are your weaknesses?: NO
How do you intend to meet the expenses of this program?: Own Resources
 
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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