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: DEG2169001 Name: AYUSH PATEL
  Address: 149 A, 1NA TYPE, CENTRAL TOWNSHIP DALLI RAJHARA
Telephone No.: Mobile no: 9171035770
E-mail: ayushpatel2899@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 413554732
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169001 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: DEG2169001
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AYUSH PATEL
Mother's Name: HARI PRIYA PATEL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Sep 2003 Nationality: INDIAN
Place of Birth: BHILAI Personal Identification Mark: MOLE ON RIGHT PALM
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 28 Sep 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: 149 A, 1NA TYPE, CENTRAL TOWNSHIP DALLI RAJHARA
State: Chattisgarh Country: India
Pin: 491228 City/District: BALOD
Mobile no: 9171035770 Telephone No. with STD code:
Aadhar Card No:633200644080 E-mail: ayushpatel2899@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PADMAN SINGH PATEL Relationship with candidate: FATHER
Parents Date of Birth: 25 May 1970 Parent's/Guardian's Occupation/Designation: BSP EMPLOYEE, M.TECH
   
Office Address:
   
Address: HEME GARAGE DALLI MECHANISED MINES DALLI RAJHARA
Country: India State: Chattisgarh
City/District: BALOD Pin: 491228
Tel: Mobile no.: 9171035929
Fax: Email: ayushpatel2899@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DAV ISPAT SR SEC PUB SCHOOL School: DPS BHILAI
City: DALLI RAJHARA City: BHILAI
English %: 93 Board Roll No./Seat No.: 12663340
Aggregate Percentage: 93 School/College Code: 15076
  Address of School/College: risali sector, bhilai
  Centre code:
  Pin: 490006
  Contact Nos:
  Email: principal@dpsbhilai.in
  Aggregate Percentage: 92
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 91 91
Chemistry 100 91 91
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 92
English 100 93 93
   
IMU CET Application Number: CET21U1008985  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: learning some new skills from technologies
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: to pursue a good career in merchant navy
Why do you wish to join TMI?: because it is a esteemed institute in the field of maritime training
What are your hobbies?: music and playing cricket
What are your strengths?: fast learner
What are your weaknesses?: nill
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

 

___________________

Date ________________

 
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