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: DEG7068558 Name: RUSHIKESH RAUT
  Address: 402, A WING, BLUE BELL APPT. N.L. GARDEN. ATLADARA
Telephone No.: Mobile no: 9374640477
E-mail: rushikesh_0411@yahoo.co.in  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 411027296
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG7068558 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: DEG7068558
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RUSHIKESH RAUT
Mother's Name: SWATI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Nov 2003 Nationality: INDIAN
Place of Birth: INDORE Personal Identification Mark: mole on right hand
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 04 Nov 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : RAUT RUSHIKESH PRASHANT Passport No.: R4587290
Date of Expiry: 03 Nov 2021 Place of Issue: AHMEDABAD
(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: 402, A WING, BLUE BELL APPT. N.L. GARDEN. ATLADARA
State: Gujarat Country: India
Pin: 390012 City/District: VADODARA
Mobile no: 9374640477 Telephone No. with STD code:
Aadhar Card No:406098299703 E-mail: rushikesh_0411@yahoo.co.in
 
Guardian's Particulars:
 
Name of Parent/Guardian: PRASHANT RAUT Relationship with candidate: FATHER
Parents Date of Birth: 28 Nov 1972 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: SURVAY NO, 104, ON COASTAL HIGHWAY VILLAGE MAHUVAD TALUKA PADRA. DIST VADODARA
Country: India State: Gujarat
City/District: VADODARA Pin: 391440
Tel: Mobile no.: 9374640477
Fax: Email: prashant.raut@thevisionproducts.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: BRIGHT DAY SCHOOL School: BRIGHT DAY SCHOOL
City: VADODARA City: VADODARA
English %: 89 Board Roll No./Seat No.: 11633161
Aggregate Percentage: 81 School/College Code: 10050
  Address of School/College: VASNA BHAYLI ROAD, VADODARA
  Centre code: 1129
  Pin: 390007
  Contact Nos: 9265854175
  Email: thebrightschool@gmail.com
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 81 81
Chemistry 100 62 62
Mathematics 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 74.33
English 100 90 90
   
IMU CET Application Number: CET21U1002542  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2020 SKATING STATE LEVEL 3RD
02/2015 SKATING STATE LEVEL 2ND
02/2013 CARROM SCHOOL LEVEL 1ST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION FOR COMPITATIVE EXAMS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: IS A REPUTED INSTITUITE REFERENCE BY RELATIVES.
What are your hobbies?: SKATING. CRICKET. FOOTBALL.
What are your strengths?: GROUP LEADING.
What are your weaknesses?: SHY
How do you intend to meet the expenses of this program?: Own Resources
 
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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