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: DEG7068155 Name: Durvang Rakesh Bhagat
  Address: C-8/A Sandvik Colony Dighi road Opp MSEB office Bhosari
Telephone No.: 09822792668 Mobile no: 9822792668
E-mail: nirmitee37@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 408340164
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068155 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: DEG7068155
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Durvang Rakesh Bhagat
Mother's Name: Chaitali
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Apr 2003 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: mole on left hand wrist
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 02 Apr 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Bhagat Durvang Rakesh Passport No.: R8622962
Date of Expiry: 01 Apr 2021 Place of Issue: PUNE
(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: C-8/A Sandvik Colony Dighi road Opp MSEB office Bhosari
State: Maharashtra Country: India
Pin: 411039 City/District: PUNE
Mobile no: 9822792668 Telephone No. with STD code: 09822792668
Aadhar Card No:855058981702 E-mail: nirmitee37@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rakesh Relationship with candidate: Father
Parents Date of Birth: 14 Aug 1972 Parent's/Guardian's Occupation/Designation: Self Employed
   
Office Address:
   
Address: C-8/A Sandvik Colony Dighi road Opp MSEB office Bhosari
Country: India State: Maharashtra
City/District: PUNE Pin: 411039
Tel: 09822792668 Mobile no.: 9011211828
Fax: Email: nirmitee37@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: D.Y. Patil School: Sri Chaitanya IIT Academy
City: PUNE City: Pune
English %: 57 Board Roll No./Seat No.:
Aggregate Percentage: 57 School/College Code:
  Address of School/College: Jaihind BuildingParihar Chowk Aundh Pune
  Centre code:
  Pin: 400007
  Contact Nos:
  Email: webmaster@srichaitanya.net
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 86 86
Chemistry 100 89 89
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 86.67
English 100 86 86
   
IMU CET Application Number: CET21U1000190  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Iwould like to improve my physical fitness and prepare for IMU exam and would like to join foreign language
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Merchant Navy is my passion
Why do you wish to join TMI?: It Is No1 Marine Time Institute in india
What are your hobbies?: Sports and Eploring
What are your strengths?: My Grasping Sense
What are your weaknesses?: good food
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

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Date ________________

 
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