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: DEG2169851 Name: travis fernandes
  Address: House no.495 second floor, Banaswadi, Bangalore, GA 403707
Telephone No.: 08329183485 Mobile no: 8329183485
E-mail: travisfernandes2327@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441274148
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169851 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: DEG2169851
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: travis fernandes
Mother's Name: irene samson fernandes
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Sep 2003 Nationality: Indian
Place of Birth: margao Personal Identification Mark: no
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 19 Sep 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: House no.495 second floor, Banaswadi, Bangalore, GA 403707
State: Goa Country: India
Pin: 403707 City/District: margao
Mobile no: 8329183485 Telephone No. with STD code: 08329183485
Aadhar Card No:250600632982 E-mail: travisfernandes2327@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: samon fernandes Relationship with candidate: Father
Parents Date of Birth: 07 Nov 1974 Parent's/Guardian's Occupation/Designation: mcm bridge engeneer, kokan railways
   
Office Address:
   
Address: Rawanfond, Near Railway Overbridge, Navelim Margao, Goa 403707
Country: India State: Goa
City/District: margao Pin: 403707
Tel: Mobile no.: 9422374237
Fax: Email: travisfernandes2327@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Goa Board: Goa
School: DON BOSCO FARM HIGH SCHOOL School: POPE JOHN XXIII HIGHER SECONDARY SCHOOL
City: QUEPEM City: QUEPEM
English %: 65 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: DON BOSCO GANV Quepem-Goa 403705
  Centre code:
  Pin: 403705
  Contact Nos: 2662328
  Email: pjhssqpm@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
10/2021 powerpoint presentation class level 1st place
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2020 ethical hacking 15 hours
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for entrance exam
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Merchant navy is a lucarative to work as a officer a person need dedication to work in any condition,anlyatical things,guts,preparative mind for difficuties and to work as a TEAM to make things work .I think I am capable of it
Why do you wish to join TMI?: Tolani Marinetime Institute has been an presitgous college for merchant navy aspirant,TMI provides best faculty and education. the plascement rate is very high.
What are your hobbies?: explore,ethical hacking,reading books,
What are your strengths?: dedicated to work,
What are your weaknesses?: slow learner,
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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