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.Tech. Marine Engineering
Dossier ID: DEG2169505 Name: SURESH KOTHA
  Address: Srimitra estates, no.94/2, flat no.105,old block 10th J cross, SANJEEVAPPA L/O, C.V.RAMAN NAGAR,NAGAVARAPALYA BANGALORE
Telephone No.: 09886153120 Mobile no: 9886153120
E-mail: kokishor@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 423916603
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169505 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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.Tech. Marine Engineering
Dossier ID: DEG2169505
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SURESH KOTHA
Mother's Name: G DHANA LAKSHMI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Sep 2003 Nationality: INDIAN
Place of Birth: KURNOOL Personal Identification Mark: MOLE ON THE LEFT HAND
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 17 Sep 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : SURESH Passport No.: U2629579
Date of Expiry: 20 Dec 2030 Place of Issue: BANGALORE
(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: Srimitra estates, no.94/2, flat no.105,old block 10th J cross, SANJEEVAPPA L/O, C.V.RAMAN NAGAR,NAGAVARAPALYA BANGALORE
State: Karnataka Country: India
Pin: 560093 City/District: Bangalore
Mobile no: 9886153120 Telephone No. with STD code: 09886153120
Aadhar Card No:437414697597 E-mail: kokishor@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: K H KISHORE Relationship with candidate: FATHER
Parents Date of Birth: 29 Mar 1969 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: Srimitra estates, no.94/2, flat no.105,old block 10th J cross, SANJEEVAPPA L/O, C.V.RAMAN NAGAR,NAGAVARAPALYA BANGALORE
Country: India State: Karnataka
City/District: Bangalore Pin: 560093
Tel: 09886153120 Mobile no.: 9886153120
Fax: Email: kokishor@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Karnataka
School: GLOBAL CITY INTERNATIONAL SCHOOL School: NARAYANA PU COLLEGE
City: Bangalore City: BANGALORE
English %: 87 Board Roll No./Seat No.: 0000000
Aggregate Percentage: 90 School/College Code: AN663
  Address of School/College: ANR COMPLEX, PAPAMMA LAYOUT, RAMAMURTHY NAGAR, BANGALORE.
  Centre code: 000
  Pin: 560016
  Contact Nos:
  Email: kokishor@gmail.com
  Aggregate Percentage: 97
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 100 100
Chemistry 100 100 100
Mathematics 100 100 100
Physics, Chemistry & Mathematics combined Percentage: 100
English 100 91 91
   
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
01/2017 KARATE STATE LEVEL SECOND
08/2014 Karate District level FIRST
11/2016 chess SCHOOL LEVEL first
11/2014 Tennis SCHOOL LEVEL FIRST
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for upcoming entrance exams.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i am interested in both machines and travelling. this degree will help me to reach my goal.
Why do you wish to join TMI?: i have heard that staff is really good at TMI and institution provides with all facilities and better placement opportunities.
What are your hobbies?: watching and playing cricket,drawing,reading books
What are your strengths?: my main strength is that i believe in myself, self-disciplined,and a good listener
What are your weaknesses?: bad at public speaking
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 ________________

 
Print Summary and Application Form