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: DEG2169500 Name: Ranjan k
  Address: Ashraya koppal house Post kalanad Kasaragod, Kerala
Telephone No.: Mobile no: 7306913851
E-mail: ranjankoppal21@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 416198758
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169500 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: DEG2169500
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ranjan k
Mother's Name: Roopakala k
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Feb 2003 Nationality: Indian
Place of Birth: Kasaragod Personal Identification Mark: Mole on left wrist
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 21 Feb 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: Ashraya koppal house Post kalanad Kasaragod, Kerala
State: Kerala Country: India
Pin: 671317 City/District: Kasaragod
Mobile no: 7306913851 Telephone No. with STD code:
Aadhar Card No: E-mail: ranjankoppal21@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Purushothama c h Relationship with candidate: Father
Parents Date of Birth: 30 Jan 1967 Parent's/Guardian's Occupation/Designation: Musician
   
Office Address:
   
Address: Ashraya koppal house Post kalanad Kasaragod, Kerala
Country: India State: Kerala
City/District: Kasaragod Pin: 671317
Tel: Mobile no.: 9495092054
Fax: Email: ranjankoppal21@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: Sarojini Madhusudan kushe School: Canara pu college
City: Mangalore City: Mangalore
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: Canara pre University College MG road, kodialbail Mangalore
  Centre code:
  Pin: 575001
  Contact Nos:
  Email: nonmail@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: From the vacation holidays of my 9th class, every vacation of mine was spent on part time jobs. Every new vacation I used to learn new work. But this year, since the cause of this pandemic my board exams is scheduled for the month of June. So, I may not be able to do more but I will work on turning my weaknesses into strength.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Firstly, I was always fascinated about life on sea. Secondly, this job is the one which gives you officer and gentleman like qualities.
Why do you wish to join TMI?: I wish to join TMI because it is name of brand which I heard the most on job-on-sea side.
What are your hobbies?: I love playingTabla and harmonium and writing stories.
What are your strengths?: My strengths are self confidence, self love, self motivation.
What are your weaknesses?: I am an introvert.
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

 

___________________

Date ________________

 
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