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: DEG2168474
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PUSHPANJALI T BEDAGU
Mother's Name: VEDAVATHI S M
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Mar 2003 Nationality: INDIAN
Place of Birth: INDIA Personal Identification Mark: MOLE ON THE CHIN
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 19 Mar 2003 Nationality: INDIAN
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : PUSHPANJALI T BEDAGU Passport No.: u1665678
Date of Expiry: 10 Nov 2029 Place of Issue: BENGALURU
(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: MIG 45 ARJUNA NILAYA 23RD CROSS NEAR ARVINDA SCHOOL KHB KUVEMPUNAGAR HASSAN
State: Karnataka Country: India
Pin: 573201 City/District: HASSAN
Mobile no: 9035203569 Telephone No. with STD code:
Aadhar Card No:992695110283 E-mail: tpushpanjali03@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: THEERTHANANDA S Relationship with candidate: FATHER
Parents Date of Birth: 15 Jun 1971 Parent's/Guardian's Occupation/Designation: SALES MANEGER
   
Office Address:
   
Address: MIG 45 ARJUNA NILAYA 23RD CROSS NEAR ARVINDA SCHOOL KHB KUVEMPUNAGAR HASSAN
Country: India State: Karnataka
City/District: HASSAN Pin: 573201
Tel: Mobile no.: 9035203568
Fax: Email: ravibedagu@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: UNITED HIGH SCHOOL School: EXPERT PRE UNIVERSITY COLLEGE
City: HASSAN City: DAKSHINA KANNADA
English %: 98 Board Roll No./Seat No.:
Aggregate Percentage: 97 School/College Code:
  Address of School/College: Valachil
  Centre code:
  Pin: 574143
  Contact Nos:
  Email: expertvalachil@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: TRAVELLING
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: ASPIRING MARINE ENGINEER
Why do you wish to join TMI?: INTERESTED IN MARINE ENG
What are your hobbies?: TRAVELLING AND NOVEL READING
What are your strengths?: LEADERSHIP QUALITIES, MANEGEMENTS
What are your weaknesses?: SOCIAL ANXIETY
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

 

___________________

Date ________________