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: DEG7068282 Name: BALAGANESH S
  Address: 3/384, EAST STREET, NEDUVAKKOTTAI -POST MANNARGUDI TALUKA, THIRUVARUR DISTRICT
Telephone No.: Mobile no: 8220533982
E-mail: appuyoga579@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 409195146
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068282 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG7068282
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BALAGANESH S
Mother's Name: JAMUNADEVI S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Nov 2003 Nationality: INDIAN
Place of Birth: MANNARGUDI Personal Identification Mark: A MOLE ON THE NECK
Blood Group: O -  
 
Date of Birth (DD/MM/YY): 13 Nov 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : BALAGANESH SENTHILKUMAR Passport No.: R9022565
Date of Expiry: 12 Nov 2021 Place of Issue: TIRUCHIRAPALLI
(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: 3/384, EAST STREET, NEDUVAKKOTTAI -POST MANNARGUDI TALUKA, THIRUVARUR DISTRICT
State: Tamil Nadu Country: India
Pin: 614014 City/District: THIRUVARUR
Mobile no: 8220533982 Telephone No. with STD code:
Aadhar Card No:712116297595 E-mail: appuyoga579@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SENTHILKUMAR Relationship with candidate: FATHER
Parents Date of Birth: 20 Nov 1977 Parent's/Guardian's Occupation/Designation: VEGETABLE SALES MAN
   
Office Address:
   
Address: GANDHI ROAD, KEELARAJA VEETHI, MANNARGUDI
Country: India State: Tamil Nadu
City/District: THIRUVARUR Pin: 614001
Tel: Mobile no.: 9894868334
Fax: Email: appuyoga579@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Tamil Nadu Board: Tamil Nadu
School: DHARANI MATRIC HIGHER SECONDARY SCHOOL School: DHARANI MATRIC HR SEC SCHOOL
City: MANNARGUDI City: MANNARGUDI
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Address of School/College: 54,55 G.S NORTH STREET, MANNARGUDI
  Centre code:
  Pin: 614001
  Contact Nos:
  Email: schooldharani@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
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
02/2018 SPECIAL YOGA INTERNATIONAL MINI YOGA CHAMPIONSHIP MALAYSIA FIRST
03/2018 PATHANJALI BOOK OF WORLD RECORDS WORLD RECORD SITTING YOGASAANAS ON POT 20 MINUTES YOGA
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: YES
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: MY AMBITION
What are your hobbies?: YOGA
What are your strengths?: AMMA
What are your weaknesses?: AMMA
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form