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.Sc. Nautical Science
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: William Philip DSouza
Mother's Name: Mathilda Shobha DSouza
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Sep 2003 Nationality: Indian
Place of Birth: Abu Dhabi Personal Identification Mark: Two Moles on the left temple
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 23 Sep 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : William Philip DSouza Passport No.: P7076071
Date of Expiry: 22 Sep 2021 Place of Issue: Bengaluru
(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: 9 113 VALLI VILLA , BEHIND MILAGRES ENGLISH MEDIUM SCHOOL , KALLIANPURA , UDUPI PIN 576114, KARNATAKA , INDIA
State: Karnataka Country: India
Pin: 576114 City/District: Udupi
Mobile no: 8277285769 Telephone No. with STD code:
Aadhar Card No: E-mail: billthegreat2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: William James DSouza Relationship with candidate: Father
Parents Date of Birth: 04 Sep 1962 Parent's/Guardian's Occupation/Designation: Retired
   
Office Address:
   
Address: Not Applicable NA
Country: India State: Karnataka
City/District: Udupi Pin: 576114
Tel: Mobile no.: 8762231080
Fax: Email: dsouzawj@hotmail
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Lourdes Central School School: LOURDES CENTRAL SCHOOL
City: Mangalore City: Mangalore
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: Near Bejai Church campus Bejai Mangalore
  Centre code:
  Pin: 575004
  Contact Nos:
  Email: principal@lourdescentralschool
  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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying and collecting information on Marine engineering
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Marine Engineering is a very interesting as it has a lot of room for improvement and advancement. I personally hope to build better engines and ships
Why do you wish to join TMI?: A very reputable and honorary college which recognised by many interns bodies
What are your hobbies?: To study news things
What are your strengths?: Good hearted , innovative
What are your weaknesses?: Lazy
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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 ________________