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.Tech. Marine Engineering
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Soumil Jain
Mother's Name: Payal Jain
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Apr 2003 Nationality: Indian
Place of Birth: Narsinghpur Personal Identification Mark: None
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 26 Apr 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Soumil Jain Passport No.: U3770089
Date of Expiry: 18 Aug 2030 Place of Issue: Bhopal
(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: Jasmine 502 Shalimar Township A.B. Road Near Patel Motors
State: Madhya Pradesh Country: India
Pin: 452010 City/District: Indore
Mobile no: 9329487584 Telephone No. with STD code: 0932 948 7584
Aadhar Card No:500618269710 E-mail: jain_payal07@yahoo.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Peeyush Jain Relationship with candidate: Father
Parents Date of Birth: 22 Jun 1974 Parent's/Guardian's Occupation/Designation: Master Mariner F.G.
   
Office Address:
   
Address: Wallem Shipmanagement India Pvt Ltd Valecha Chambers, First Floor, Plot B-6, Andheri New Link Road Andheri West
Country: India State: Maharashtra
City/District: Mumbai Pin: 400053
Tel: 073135601016 Mobile no.: 9329487584
Fax: Email: jain_payal07@yahoo.com
 

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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