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: ROHIT HEMANT CHAVAN
Mother's Name: SADHANA HEMANT CHAVAN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Jul 2003 Nationality: INDIAN
Place of Birth: SHIRWAL Personal Identification Mark: on chin
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 02 Jul 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: SECT.16, PLOT NO. 86/1 NEAR VITTHAL MANDIR, SHARADA SUMAN, RAJE SHIVAJI NAGAR, PCNTDA, CHIKALI PRADHIKARAN, PUNE-19
State: Maharashtra Country: India
Pin: 411019 City/District: PUNE
Mobile no: 7218127080 Telephone No. with STD code:
Aadhar Card No:829406961763 E-mail: rohitchavan7882@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: HEMANT MUGUTRAO CHAVAN Relationship with candidate: FATHER
Parents Date of Birth: 24 Jan 1978 Parent's/Guardian's Occupation/Designation: TATA MOTORS
   
Office Address:
   
Address: pimpri chinchwad pune-19
Country: India State: Maharashtra
City/District: PUNE Pin: 411019
Tel: Mobile no.: 9921000902
Fax: Email: hemantchavan7882@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: VIDYA NIKETAN ENGLISH MEDIUM SCHOOL TMEET School: SHRI.BALAJI KANISHTA MAHAVIDHYALAYA
City: PUNE City: AURANGABAD
English %: 70 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Address of School/College: TAL. PHULAMBRI DIST. AURANGABAD
  Centre code:
  Pin: 431111
  Contact Nos:
  Email: bwalesmaritimeacademy@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 ?: STILL I AM STUDYING 12TH SYLLABUS BUT INSTEAD OF STUDYING I LIKE TO HAVE PRACTICAL EXPERIENCE OF A PARTICULAR SUBJECT.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: MY DREAM IS TO BE MERCHANT NAVY CADET.
Why do you wish to join TMI?: BECAUSE TMI IS A REPUTATED AND TRUSTED INSTITUTE,
What are your hobbies?: DRAWING
What are your strengths?: BEING FRIENDLY AND UNDERSTANDING EVERYONE
What are your weaknesses?: TRUSTING EVERYONE
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 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 ________________

 
Print Summary and Application Form