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: DEG2171373 Name: Priyanshu Raj
  Address: Vill Po -Shekhpur Ps -Ahiyapur
Telephone No.: Mobile no: 8207476239
E-mail: priyanshu.mfp07@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13678301725
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171373 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: DEG2171373
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Priyanshu Raj
Mother's Name: Pramila Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Dec 2003 Nationality: Indian
Place of Birth: Muzaffarpur Personal Identification Mark: A Cut mark on left eyebrow
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 07 Dec 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Priyanshu Raj Passport No.: Z6111321
Date of Expiry: 07 Apr 2031 Place of Issue: Patna
(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: Vill Po -Shekhpur Ps -Ahiyapur
State: Bihar Country: India
Pin: 842002 City/District: Muzaffarpur
Mobile no: 8207476239 Telephone No. with STD code:
Aadhar Card No:458515197096 E-mail: priyanshu.mfp07@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bimal Kumar Singh Relationship with candidate: Father
Parents Date of Birth: 06 Feb 1957 Parent's/Guardian's Occupation/Designation: Ex service man
   
Office Address:
   
Address: Companybag Road Muzaffarpur
Country: India State: Bihar
City/District: Muzaffarpur Pin: 842001
Tel: Mobile no.: 9939837785
Fax: Email: pkumari281996@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: DAV PUBLIC SCHOOL School: ABEDA HIGH SCHOOL MUZAFFARPUR
City: Muzaffarpur City: Muzaffarpur
English %: 47 Board Roll No./Seat No.: 21010056
Aggregate Percentage: 80 School/College Code: 51006
  Address of School/College: Pakki Sarai Rd, Tinkothia, Chandwara, Muzaffarpur
  Centre code: 51072
  Pin: 842001
  Contact Nos:
  Email: abeda1936@gmail.com
  Aggregate Percentage: 81
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 89 89
Chemistry 100 90 90
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 88
English 100 70 70
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
01/2020 Advance Diploma In Computer Application 1Year
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Prepration Of Merchant Navy
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Full Theory Concept and Practical Are in BSC Nautical science.
Why do you wish to join TMI?: Due To Better Infrastructure
What are your hobbies?: Making Rangoli and Swimming
What are your strengths?: Optimistic in nature , Curious to learn new things, love always work as a team
What are your weaknesses?: My english accent is not that good but I am still working to improve my accent
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Your passport 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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