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.Sc. Nautical Science
Dossier ID: DEG2170663 Name: Rishikesh Shailendra Gajarlawar
  Address: PA 2/1, deepnagar, nimbhore budhruk,bhusawal,jalgaon Kirad pura, gandhi chowk, sadar ,nagpur Kirad pura ,gandhi chowk ,sadar, nagpur
Telephone No.: 9970116383 Mobile no: 9970116383
E-mail: rishigajarlawar@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: 427055705
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170663 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.Sc. Nautical Science
Dossier ID: DEG2170663
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rishikesh Shailendra Gajarlawar
Mother's Name: Uma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Nov 2003 Nationality: Indian
Place of Birth: Nagpur Personal Identification Mark: Scare mark on chest
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 07 Nov 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: PA 2/1, deepnagar, nimbhore budhruk,bhusawal,jalgaon Kirad pura, gandhi chowk, sadar ,nagpur Kirad pura ,gandhi chowk ,sadar, nagpur
State: Maharashtra Country: India
Pin: 425307 City/District: Bhusawal
Mobile no: 9970116383 Telephone No. with STD code: 9970116383
Aadhar Card No:683668366421 E-mail: rishigajarlawar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shailendra Gajarlawar Relationship with candidate: Father
Parents Date of Birth: 25 Apr 1971 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: PA2/1 ,deepnagar,nimbhore budhruk, bhusawal,jalgaon Kirad pura,gandhi chowk, sadar,nagpur Kirad pura,gandhi chowk,sadar,nagpur
Country: India State: Maharashtra
City/District: Bhusawal Pin: 425307
Tel: 8275534943 Mobile no.: 8275534943
Fax: Email: shailgajar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Bharti krishna vidya vihar School: Podar international school
City: Nagpur City: Bhusawal
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: 68/1,aklud,bhusawal,yawal road,tapi river bridge section
  Centre code:
  Pin: 425501
  Contact Nos: 02582327789
  Email: admissions@podar.org
  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 ?: since the current situation doesnt permit to travel, my plans would be exploring different opportunities for self growth and introspection
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i want to pursue nautical science because the subject taught in the period of 3 years match my interests and i want to learn and explore more
Why do you wish to join TMI?: i personally feel that i would get to explore more opportunities in your college that will help me in my personal growth. TMI has been ranked no. 1 in the field of merchant navy and i would like to get prestigious knowledge from the university. i am also fascinated by the idea of taking practical knowledge from the dummy ship in your college
What are your hobbies?: playing football and learning new musical instruments like tabla and guitar
What are your strengths?: i am determined and a quick learner, having optimistic view towards life, i also portray discipline and teamwork qualities
What are your weaknesses?: i have poor communication skills but i am working on it
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 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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