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: DEG2169099 Name: SHRINESH S PAI
  Address: 7/1536, SASTHANAGAR LANE MATTANCHERRY, NEAR ANAVATHIL, OPPOSITE BSNL TELEPHONE EXCHANGE COCHIN-682002, KERALA
Telephone No.: Mobile no: 7356059488
E-mail: shrineshspai@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 414152549
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169099 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: DEG2169099
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHRINESH S PAI
Mother's Name: BINDU R PAI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Jun 2003 Nationality: INDIAN
Place of Birth: COCHIN Personal Identification Mark: MOLE IN LEFT EAR
Blood Group: O -  
 
Date of Birth (DD/MM/YY): 20 Jun 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: 7/1536, SASTHANAGAR LANE MATTANCHERRY, NEAR ANAVATHIL, OPPOSITE BSNL TELEPHONE EXCHANGE COCHIN-682002, KERALA
State: Kerala Country: India
Pin: 682002 City/District: ERNAKULAM
Mobile no: 7356059488 Telephone No. with STD code:
Aadhar Card No:281376019250 E-mail: shrineshspai@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHIVANANDA PAI Relationship with candidate: FATHER
Parents Date of Birth: 21 Mar 1978 Parent's/Guardian's Occupation/Designation: AUTO DRIVER
   
Office Address:
   
Address: 7/1536, SASTHANAGAR LANE MATTANCHERRY, NEAR ANAVATHIL, OPPOSITE BSNL TELEPHONE EXCHANGE COCHIN-682002, KERALA
Country: India State: Kerala
City/District: ERNAKULAM Pin: 682002
Tel: Mobile no.: 8136848799
Fax: Email: shivanandapai21@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: CHINMAYA VIDYALAYA KATTIPARMBU KANNAMLY KOCHI KL School: CHINMAYA VIDYALAYA KATTIPARAMBU KANNAMALY KOCHI KL
City: COCHIN City: COCHIN
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Address of School/College: CHINMAYA VIDYALAYA KATTIPARAMBU-KALATHARA ROAD,KANNAMALY P.O,COCHIN-682008
  Centre code:
  Pin: 682008
  Contact Nos: 04842247505,04842268168
  Email: chinmayakannamally@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
03/2018 WRESTLING DISTRICT FIRST
03/2018 WRESTLING STATE THIRD
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would rejoin my wrestling classes, spend some quality time with friends and family and prepare for the entrance exams.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Throughout my childhood, I had a strong desire to work on ships and travel across the globe. So personally, I think that this is the best career choice for me.
Why do you wish to join TMI?: TMI has a very good reputation throughout India. I also had a friend who passed out from TMI sharing his experiences in the institute which motivated me to apply.
What are your hobbies?: I love cooking, walking my dogs and playing with friends.
What are your strengths?: I possess good leadership and communication skills.
What are your weaknesses?: I am not very good at managing time while performing various tasks.
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded 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

 

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Date ________________

 
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