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.Sc. Nautical Science Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2169107 Name: Satwik Mishra
  Address: Plot No. 2515/4, Bank Colony, Gosagoreswar Chaak, Rath Road Old Town,
Telephone No.: Mobile no: 9348826375
E-mail: satwik003.m1@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 417520440
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169107 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.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2169107
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Satwik Mishra
Mother's Name: Smita Mishra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Nov 2003 Nationality: Indian
Place of Birth: Bhubaneswar Personal Identification Mark: A cut near left eyebrow
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 27 Nov 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: Plot No. 2515/4, Bank Colony, Gosagoreswar Chaak, Rath Road Old Town,
State: Orissa Country: India
Pin: 751002 City/District: Bhubaneswar
Mobile no: 9348826375 Telephone No. with STD code:
Aadhar Card No: E-mail: satwik003.m1@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SUSIL KUMAR MISHRA Relationship with candidate: Father
Parents Date of Birth: 23 Feb 1964 Parent's/Guardian's Occupation/Designation: Government Official
   
Office Address:
   
Address: AG Office AG Square, Bhubaneswar, Odisha
Country: India State: Orissa
City/District: Bhubaneswar Pin: 751002
Tel: Mobile no.: 7978037600
Fax: Email: susilkumar.m1@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SXHS School: SXHS
City: Bhubaneswar City: Bhubaneswar
English %: 93 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: Kedargouri, Bhubaneswar
  Centre code:
  Pin: 751002
  Contact Nos: 9348826375
  Email: satwik003.m1@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
03/2021 Swimming Olympic level Practise Swimmer Practice
03/2012 Football Representing at the School Level Defender and Midfielder
03/2012 Dancing media platforms and competitions 1st
03/2016 Batminton Hobby Practitioner Practice
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Productively and for Self Improvement.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Following my passion to become the captain one day,
Why do you wish to join TMI?: Very efficient in making placements, great teaching as well as faculty gets me wishing to join TMI .
What are your hobbies?: Swimming, Football, Batminton, Dancing
What are your strengths?: Strong Determination and Will Power
What are your weaknesses?: Needs Proper Guidance and Motivation
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
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