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: DEG2170333 Name: VIKAS RANA
  Address: QTR NO. - BEAS 14-C, NAUSENA BAUGH, GANDHIGRAM POST, VISAKHAPATNAM 530005, ANDHRA PRADESH
Telephone No.: Mobile no: 9542413990
E-mail: harishrana173@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: 431145701
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170333 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2170333
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VIKAS RANA
Mother's Name: SHUSHILA RANA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Apr 2002 Nationality: INDIAN
Place of Birth: MUMBAI Personal Identification Mark: MOLE ON FOREHEAD
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 24 Apr 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: QTR NO. - BEAS 14-C, NAUSENA BAUGH, GANDHIGRAM POST, VISAKHAPATNAM 530005, ANDHRA PRADESH
State: Andhra Pradesh Country: India
Pin: 530005 City/District: VISAKHAPATNAM
Mobile no: 9542413990 Telephone No. with STD code:
Aadhar Card No:926991679742 E-mail: harishrana173@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: HARISH SINGH Relationship with candidate: FATHER
Parents Date of Birth: 17 Feb 1972 Parent's/Guardian's Occupation/Designation: DEFENCE-INDIAN NAVY
   
Office Address:
   
Address: HARISH SINGH, MCMECH-I, DHRUV CELL INS CIRCARS, NAVAL BASE VISAKHAPATNAM-530014
Country: India State: Andhra Pradesh
City/District: VISAKHAPATNAM Pin: 530005
Tel: Mobile no.: 9542413990
Fax: Email: harishrana173@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: NAVY CHILDREN SCHOOL School: NAVY CHILDREN SCHOOL
City: KOCHI City: VISAKHAPATNAM
English %: 96 Board Roll No./Seat No.: 20650764
Aggregate Percentage: 97 School/College Code: 59313
  Address of School/College: NAVY CHILDREN SCHOOL, NAUSENA BAUGH, GANDHIGRAM POST, VISAKHAPATNAM, ANDHRA PRADESH
  Centre code: 5905
  Pin: 530005
  Contact Nos:
  Email: ncsvisakha@gmail.com
  Aggregate Percentage: 95
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 94 94
Chemistry 100 95 95
Mathematics 100 89 89
Physics, Chemistry & Mathematics combined Percentage: 92.67
English 100 98 98
   
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 FOOTBALL CLUSTER FIRST
11/2017 FOOTBALL NATIONAL PARTICIPATION
09/2018 FOOTBALL CLUSTER FIRST
11/2018 FOOTBALL NATIONAL PRE QUATERFINALS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to brush up my communication skills for my future. I would like to work hard for clearing exams that are on my way. I would maintain my physique and stay optimistic for a better future.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I am interested in doing marine engineering and I can perform the best in this field.
Why do you wish to join TMI?: After research and suggestions Tolani Maritime Institute has everything I want and this institution can help me achieve greater heights.
What are your hobbies?: PLAYING FOOTBALL, LISTENING MUSIC, COOKING
What are your strengths?: HARDWORKING, TEAMWORK, MULTITASK, QUICK LEARNER
What are your weaknesses?: TOO FRIENDLY
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card 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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