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.Sc. Nautical Science
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sankalp Sanjay Gupta
Mother's Name: Rashmi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Mar 2001 Nationality: Hindu
Place of Birth: Bhiwandi Personal Identification Mark: No mark
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 16 Mar 2001 Nationality: Hindu
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Sankalp Sanjay Gupta Passport No.: U463390
Date of Expiry: 25 Feb 2030 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: Acme ozone building Dandilea flat no 1401 thane w Acme ozone building Dandilea flat no 1401 thane w Acme ozone building Dandilea flat no 1401 thane w
State: Maharashtra Country: India
Pin: 400607 City/District: Thane
Mobile no: 9623185506 Telephone No. with STD code: 02522
Aadhar Card No:308655927096 E-mail: rashmi1981gup@gmail.com
 
Guardian's Particulars:
 
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Education and Academic Record :


Class X: - Class XII: -
Year of Passing: Year of Passing:
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English %: Board Roll No./Seat No.:
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Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
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?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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

 

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Date ________________

 
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