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.Tech. Marine Engineering
Dossier ID: DEG2171742 Name: Abhishek Modak
  Address: Ambedkar Nagar Dorli road Patipura Yavatmal
Telephone No.: 8855965610 Mobile no: 8855965610
E-mail: abhishekmodak358@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171742 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.Tech. Marine Engineering
Dossier ID: DEG2171742
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abhishek Modak
Mother's Name: Sangita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Oct 2000 Nationality: Indian
Place of Birth: Yavatmal Personal Identification Mark: Mole on chest
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 29 Oct 2000 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: Ambedkar Nagar Dorli road Patipura Yavatmal
State: Maharashtra Country: India
Pin: 445001 City/District: Yavatmal
Mobile no: 8855965610 Telephone No. with STD code: 8855965610
Aadhar Card No:904550444201 E-mail: abhishekmodak358@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sadanand Kashinath Modak Relationship with candidate: Son
Parents Date of Birth: 11 Feb 1974 Parent's/Guardian's Occupation/Designation: Labour
   
Office Address:
   
Address: Ambedkar Nagar Dorli Road Patipura Yavatmal
Country: India State: Maharashtra
City/District: Yavatmal Pin: 445001
Tel: 8855965610 Mobile no.: 8855965610
Fax: Email: abhishekmodak358@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Maharashtra Board: Maharashtra
School: Sanskar English medium high school School: Jagadambha junior science college
City: Yavatmal City: Yavatmal
English %: 78 Board Roll No./Seat No.: VO39067
Aggregate Percentage: 82 School/College Code: 1193
  Address of School/College: Shinde plot , Yavatmal
  Centre code: 0711
  Pin: 445001
  Contact Nos: 08855965610
  Email: abhishekmodak358@gmail.com
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 70 70
Chemistry 100 65 65
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 65.67
English 100 78 78
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I did mscit and typing courses
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes, ofcourse.
Why do you wish to join TMI?: For being a merchant Navy officer and feels my parents proud.
What are your hobbies?: To play football
What are your strengths?: I am pretty easygoing and not get upset easily, my ability is to deal with people and I am more focused.
What are your weaknesses?: I got stress when I miss any deadline
How do you intend to meet the expenses of this program?: Bank Loan
 
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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