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: DEG2169705 Name: JAY RICHARD L
  Address: Villa 246, Humming Gardens OMR, Kelambakkam Chennai
Telephone No.: 04448609447 Mobile no: 9841699942
E-mail: lawrencebalaji@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: 417332160
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169705 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: DEG2169705
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: JAY RICHARD L
Mother's Name: HEMA LATHA G
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Jun 2003 Nationality: INDIAN
Place of Birth: MADURAI Personal Identification Mark: A SCAR IN THE RIGHT HAND MIDDLE FINGER
Blood Group: A -  
 
Date of Birth (DD/MM/YY): 05 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: Villa 246, Humming Gardens OMR, Kelambakkam Chennai
State: Tamil Nadu Country: India
Pin: 603103 City/District: chennai
Mobile no: 9841699942 Telephone No. with STD code: 04448609447
Aadhar Card No:448255724392 E-mail: lawrencebalaji@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: LAWRENCE BALAJI S Relationship with candidate: FATHER
Parents Date of Birth: 06 Jun 1977 Parent's/Guardian's Occupation/Designation: SENIOR MANAGER - IT
   
Office Address:
   
Address: RELX India Pvt Ltd International Tech park, Crest, 5th floor Taramani, Chennai
Country: India State: Tamil Nadu
City/District: chennai Pin: 600113
Tel: 04442994494 Mobile no.: 9841699942
Fax: Email: lawrencebalaji@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: VELAMMAL VIDHYASHRAM School: VELAMMAL BODHI CAMPUS
City: CHENNAI City: CHENNAI
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Address of School/College: vELAMMAL BODHI CAMPUS, KOLKATA HIGH ROAD, PANCHETTI - 601204
  Centre code:
  Pin: 601204
  Contact Nos:
  Email: principalbodhi@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
08/2019 BADMINTON STATE QUARTER FINALS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PLANNING TO STUDY A NEW EUROPEAN LANGUAGE AND PREPARE FOR MARITIME ENTRACE
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: MY AMBITION IS TO BECOME A SHIP CAPTAIN
Why do you wish to join TMI?: Best college in maritime colleges
What are your hobbies?: Badminton, TT
What are your strengths?: Quick learner
What are your weaknesses?: sometimes lazy
How do you intend to meet the expenses of this program?: Own Resources,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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