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.Tech. Marine Engineering
Dossier ID: DEG2169388 Name: Priyansu Mohanty
  Address: 2 R B - 1 MI COLONY UNIT-9 2 R B - 1 MI COLONY UNIT-9
Telephone No.: Mobile no: 7008497335
E-mail: mohantypriyansu6969@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 429553834
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169388 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.Tech. Marine Engineering
Dossier ID: DEG2169388
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Priyansu Mohanty
Mother's Name: Swapna mohanty
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Nov 2002 Nationality: Indian
Place of Birth: Bhubaneswar Personal Identification Mark: A black spot on the right eye
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 22 Nov 2002 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: 2 R B - 1 MI COLONY UNIT-9 2 R B - 1 MI COLONY UNIT-9
State: Orissa Country: India
Pin: 751022 City/District: BHUBANESWAR
Mobile no: 7008497335 Telephone No. with STD code:
Aadhar Card No:234175077956 E-mail: mohantypriyansu6969@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rashmi Ranjan Mohanty Relationship with candidate: Father
Parents Date of Birth: 14 Mar 1963 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Gico tiles and marbles , Patrapada 2 R B - 1 MI COLONY UNIT- 9
Country: India State: Orissa
City/District: Bhubaneswar Pin: 751022
Tel: Mobile no.: 7008497335
Fax: Email: mohantypriyansu6969@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SXHS School: St.Xaviers High school
City: Bhubaneswar City: Bhubaneswar
English %: 93 Board Roll No./Seat No.: 12611909
Aggregate Percentage: 81 School/College Code: 15500
  Address of School/College: 110 khandagiri opposite of khandagiri police station
  Centre code: 000
  Pin: 751030
  Contact Nos:
  Email: mohantypriyansu6969@gmail.com
  Aggregate Percentage: 77
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 83 83
Mathematics 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 73
English 100 83 83
   
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
11/2017 Running District 4 th
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like prepare for my entrance examinations further
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical Science
Why do you wish to join TMI?: As per as I know TMI offers the best education in the field of of Marine so I would really like to experience the best of marine engineering
What are your hobbies?: Playing volleyball , badminton and Running
What are your strengths?: My strengths are my parents and my freinds
What are your weaknesses?: Trust easily
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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