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: DEG2170030 Name: PREETAM KUMAR DASH
  Address: PATI SAHI, SERAIKELLA KHARSAWAN NEAR PNB , SERAIKELLA KHARSAWAN
Telephone No.: Mobile no: 7488171373
E-mail: dashrkm1@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 422315729
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170030 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: DEG2170030
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PREETAM KUMAR DASH
Mother's Name: KRISHNA DASH
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 03 Aug 2002 Nationality: INDIAN
Place of Birth: SERAIKELLA Personal Identification Mark: MOLES ON RIGHT CHICK
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 03 Aug 2002 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: PATI SAHI, SERAIKELLA KHARSAWAN NEAR PNB , SERAIKELLA KHARSAWAN
State: Jharkhand Country: India
Pin: 833216 City/District: SERAIKELLA KHARSAWAN
Mobile no: 7488171373 Telephone No. with STD code:
Aadhar Card No:456224697709 E-mail: dashrkm1@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SAPAN KUMAR DASH Relationship with candidate: FATHER
Parents Date of Birth: 21 Jul 1964 Parent's/Guardian's Occupation/Designation: PRINCIPAL/ GOVT SCHOOL
   
Office Address:
   
Address: MS-CHILKU, SERAIKELLA KHARSAWAN MS-CHILKU, SERAIKELLA KHARSAWAN
Country: India State: Jharkhand
City/District: SERAIKELLA KHARSAWAN Pin: 833216
Tel: 08002488533 Mobile no.: 8002488533
Fax: Email: preetammnps@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: RAMAKRISHNA MISSION School: MOTILAL NEHRU PUBLIC SCHOOL
City: JAMSHEDPUR City: JAMSHEDPUR
English %: 73 Board Roll No./Seat No.: 6876283/050
Aggregate Percentage: 76 School/College Code: JH0502213433
  Address of School/College: PIPELINE ROAD, NORTHEN TOWN, SAKCHI
  Centre code: 2213433
  Pin: 831001
  Contact Nos: 6205340345
  Email: preetamkumardash2018@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 73 73
Chemistry 100 71 71
Mathematics 100 69 69
Physics, Chemistry & Mathematics combined Percentage: 71
English 100 81 81
   
IMU CET Application Number: CET21U1003001  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2018 FOOTBALL RELIANCE CUP DEFENDER
06/2018 FOOTBALL INTER SCHOOL JONALS DEFENDER
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: BY KNOWING MORE ABOUT THE CAMPUSAND COLLEGE , BY ENHANCING MY SKILLS AND VOCABULARY , WORKING FOR POOR PEOPLE , PLAYING OUTDOOR GAMES
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: WELL I THINK NAUTICAL SCIENCE IS ALWAYS GOOD OPTION FOR ANYONE WHO IS LOOKING TO BE IN A SHIPPING INDUSTRY AND SAIL THE WORLD , ITS MY AIM TO JOIN MERCHANT NAVY SINCE CHILDHOOD , IN THESE FEILDS I WILL GETTING TO LEARN NEW THINGS EVERYDAY
Why do you wish to join TMI?: MY AIM IS TO JOIN MERCHANT NAVY SINCE CHILDHOOD SO TMI IS THE BEST INSTITUTE FOR LIVING MY DREAM
What are your hobbies?: PLAYING OUTDOOR GAMES , HELPING MOTHER IN KITCHEN , READING BOOKS , HELPING FAMILY MEMBERS
What are your strengths?: MY STRENGTH IS THAT I NEVER GIVE UP, HOWEVER HARD THE SITUATION MAY BE, I AM A GO-GETTER
What are your weaknesses?: BEING TOO HONEST
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

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Date ________________

 
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