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.Sc. Nautical Science
Dossier ID: DEG2171705 Name: MANTOSH RAJGURU
  Address: D-249 KOELNAGAR ROURKELA
Telephone No.: 09348105940 Mobile no: 9348105940
E-mail: mantoshrajguru123@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: 425023696
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171705 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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.Sc. Nautical Science
Dossier ID: DEG2171705
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MANTOSH RAJGURU
Mother's Name: RASHMITA RAJGURU
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Oct 2002 Nationality: INDIAN
Place of Birth: Sundergarh Personal Identification Mark: mole on the right cheek
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 15 Oct 2002 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: D-249 KOELNAGAR ROURKELA
State: Orissa Country: India
Pin: 769014 City/District: SUNDERGARH
Mobile no: 9348105940 Telephone No. with STD code: 09348105940
Aadhar Card No:783798782818 E-mail: mantoshrajguru123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MANOJ KUMAR RAJGURU Relationship with candidate: FATHER
Parents Date of Birth: 18 Mar 1970 Parent's/Guardian's Occupation/Designation: SAIL EMPLOYEE
   
Office Address:
   
Address: D-249 KOELNAGAR ROURKELA
Country: India State: Orissa
City/District: SUNDERGARH Pin: 769014
Tel: 06613552817 Mobile no.: 9937321161
Fax: Email: mantoshrajguru123@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: ISCE
School: st pauls school School: st pauls school
City: ROURKELA City: ROURKELA
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: SEC -19,HAMIRPUR,ROURKELA
  Centre code:
  Pin: 769003
  Contact Nos: 06612642786
  Email: stpaulrkl@gmail.com
  Aggregate Percentage:
   
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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
01/2018 REPUBLIC DAY CAMP NEW DELHI NCC NATIONAL LEVEL CADET
05/2018 RAJIV GANDHI PRATIVA PURASKAR STATE LEVEL NCC CADET
11/2019 ALL INDIA CHILDRENS FESTIVAL NATIONAL LEVEL 3RD BEST SUPPORTING ACTOR
03/2018 JR BOYS SHOT PUT STATE LEVEL 2ND PRIZE
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: First of all I would try to get as much of information as possible about the campus surroundings and environment to get myself ready for the upcoming opportunities Thereafter I would give sufficient time for my physical health and mental peace for a fresh start when I join in
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: This course will help me explore opportunities in the field where I can see my growth in my own interest .
Why do you wish to join TMI?: Tolani Maritime Institute is one of the largest maritime educational centers in the country with excellent placement records .
What are your hobbies?: Aquarist
What are your strengths?: Traits to be a good leader, adaptive in working with people with different mindsets.
What are your weaknesses?: I tend to do things perfectly which might slow me down at times.
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

 

___________________

Date ________________

 
Print Summary and Application Form