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: DEG2171578 Name: MADHUSUDAN RAI
  Address: VILL SOFIPUR LALGANJ AZAMGARH
Telephone No.: Mobile no: 7080019775
E-mail: pratikrai70800@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: 13689447099
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171578 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: DEG2171578
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MADHUSUDAN RAI
Mother's Name: SANDHYA RAI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Sep 2003 Nationality: INDIAN
Place of Birth: AZAMGARH Personal Identification Mark: NO
Blood Group: AB -  
 
Date of Birth (DD/MM/YY): 23 Sep 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MADHUSUDAN RAI 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: VILL SOFIPUR LALGANJ AZAMGARH
State: Uttar Pradesh Country: India
Pin: 276202 City/District: AZAMGARH
Mobile no: 7080019775 Telephone No. with STD code:
Aadhar Card No:892331515737 E-mail: pratikrai70800@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAMSWAROOP RAI Relationship with candidate: FATHER
Parents Date of Birth: 15 May 1978 Parent's/Guardian's Occupation/Designation: MERCHANT NAVY
   
Office Address:
   
Address: CITY POINT BUILDING J B NAGAR ANDHERI EAST MUMBAI
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400047
Tel: Mobile no.: 7080019775
Fax: Email: pratikrai70800@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: ST. XAVIER HIGH SCHOOL School: CHILDREN COLLEGE
City: AZAMGARH City: AZAMGARH
English %: 66 Board Roll No./Seat No.: 23604210
Aggregate Percentage: 79 School/College Code: 70133
  Address of School/College: AZAMGARH
  Centre code: 70133
  Pin: 276201
  Contact Nos:
  Email: childrencollegeazm@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 69 69
Chemistry 100 64 64
Mathematics 100 59 59
Physics, Chemistry & Mathematics combined Percentage: 64
English 100 82 82
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation for merchant navy
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: 100 Percent Placement
What are your hobbies?: Stuady
What are your strengths?: Good Capacity
What are your weaknesses?: Thinking Deeply
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

___________________

Date ________________

 
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