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.Tech. Marine Engineering
Dossier ID: DEG2170751 Name: VYAWAHARE OM PANKAJ
  Address: KARANJA CHOWK, NEAR RAM MANDIR BULDANA
Telephone No.: Mobile no: 8208473096
E-mail: ompvyawahare03@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 422420646
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2170751 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.Tech. Marine Engineering
Dossier ID: DEG2170751
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: VYAWAHARE OM PANKAJ
Mother's Name: PRAJAKTA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 May 2003 Nationality: INDIAN
Place of Birth: BULDANA Personal Identification Mark: MOLE ON FACE
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 07 May 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: KARANJA CHOWK, NEAR RAM MANDIR BULDANA
State: Maharashtra Country: India
Pin: 443001 City/District: BULDANA
Mobile no: 8208473096 Telephone No. with STD code:
Aadhar Card No:659181413822 E-mail: ompvyawahare03@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: PANKAJ GANGADHAR VYAWAHARE Relationship with candidate: FATHER
Parents Date of Birth: 18 Dec 1965 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: MANOJ BOOK DEPOT, KARANJA CHOWK BULDANA
Country: India State: Maharashtra
City/District: BULDANA Pin: 443001
Tel: Mobile no.: 8766858304
Fax: Email: ompvyawahare03@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: SAHAKAR VIDYA MANDIR BULDANA School: RAJARSHI SHAHU JR COLLEGE MHASLA
City: BULDANA City: BULDANA
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code: 00000
  Address of School/College: AT POST MHASLA TQ DIST BULDANA
  Centre code: 000000
  Pin: 443106
  Contact Nos:
  Email: ompvyawahare03@gmail.com
  Aggregate Percentage: 94
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 86 86
Chemistry 100 95 95
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 91.67
English 100 96 96
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: GYM AND PLAYING SPORTS
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE OF MY OWN INTEREST
Why do you wish to join TMI?: AS IT HAS A GOOD EDUCATION AND NICE PLACEMENT
What are your hobbies?: PLAYING CRICKET AND READING BOOKS
What are your strengths?: SELF CONFIDENCE
What are your weaknesses?: CREATIVITY
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
 
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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