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.Sc. Nautical Science
Dossier ID: DEG2169954 Name: Tushar Marotrao Ballalkar
  Address: Ballalkar nivas Yadav colany ballal Ballal At post matul Tq bhokar dist nanded
Telephone No.: 8855834520 Mobile no: 8855834520
E-mail: tusharballalkar1111@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 421910885
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2169954 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.Sc. Nautical Science
Dossier ID: DEG2169954
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Tushar Marotrao Ballalkar
Mother's Name: Ayodhya
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 May 2003 Nationality: Indian
Place of Birth: Bhokar Personal Identification Mark: No
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 21 May 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: Ballalkar nivas Yadav colany ballal Ballal At post matul Tq bhokar dist nanded
State: Maharashtra Country: India
Pin: 431801 City/District: Ballal tq bhokar dist nanded
Mobile no: 8855834520 Telephone No. with STD code: 8855834520
Aadhar Card No:617611116908 E-mail: tusharballalkar1111@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Marotrao muttyena ballalkar Relationship with candidate: Father
Parents Date of Birth: 13 Apr 1976 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Ballal Tq bhokar Dist nanded
Country: India State: Maharashtra
City/District: Ballal tq bhokar dist nanded Pin: 431801
Tel: 9764357719 Mobile no.: 9764357719
Fax: Email: ballalkart@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Maharashtra Board: Maharashtra
School: Vithai madhyamik Vidhyalaya troda bk nanded School: Sant gadgebaba jr collage martanwadi tq palam dist parbhani
City: Nanded City: Martanwadi tq palam dist Parbhani
English %: 74 Board Roll No./Seat No.:
Aggregate Percentage: 66 School/College Code:
  Address of School/College: Martanwadi tq palam dist parbhani
  Centre code:
  Pin: 431702
  Contact Nos: 8855834520
  Email: ballalkart@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: ....
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: .....
Why do you wish to join TMI?: ...
What are your hobbies?: Swimming , take advantage in our reality life
What are your strengths?: Good
What are your weaknesses?: No weakness
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 ________________

 
Print Summary and Application Form