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: DEG2171962 Name: Dixith Kumar
  Address: Military hospital Bhuj Kutch Gujarat 370001
Telephone No.: Mobile no: 9901540998
E-mail: dixithyogi@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 426107755
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2171962 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: DEG2171962
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dixith Kumar
Mother's Name: UMA MB
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Aug 2002 Nationality: Indian
Place of Birth: Karnataka Personal Identification Mark: Cut on right eyebrow
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 26 Aug 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: Military hospital Bhuj Kutch Gujarat 370001
State: Gujarat Country: India
Pin: 370001 City/District: Kutch
Mobile no: 9901540998 Telephone No. with STD code:
Aadhar Card No:333288860673 E-mail: dixithyogi@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Yogesh hv Relationship with candidate: Father
Parents Date of Birth: 19 Jun 1969 Parent's/Guardian's Occupation/Designation: Defence services
   
Office Address:
   
Address: Military hospital Bhuj Kutch Gujarat
Country: India State: Gujarat
City/District: Kutch Pin: 370001
Tel: Mobile no.: 9810784003
Fax: Email: yogehvy@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021 (Appearing for improvement)
Board: ISCE Board: CBSE
School: National residential school School: ldc public school
City: Konandur City: Prayagraj
English %: 66 Board Roll No./Seat No.: 0
Aggregate Percentage: 77 School/College Code: 0
  Address of School/College: Ldc public school soaron Pratapgarh Rd, Abdalpur Prayagraj
  Centre code: 0
  Pin: 212502
  Contact Nos: 9901540998
  Email: dixithyogi@gmail.com
  Aggregate Percentage: 0
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 0 0
Chemistry 100 0 0
Mathematics 100 0 0
Physics, Chemistry & Mathematics combined Percentage: 0
English 100 0 0
   
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
11/2018 Triple jump National level 12
09/2019 Triple jump Cluster level 3
10/2018 Triple jump Cluster level 2
08/2017 High jump State level 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to go to my village and enjoy the greenery of the mother earth or else i will the join the stadium and continue my training in sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have a great attachment with nature and mother earth, so as to explore the ocean and seas I choose to opt the Marine Engineering
Why do you wish to join TMI?: I have attended the webinar of TMI and there I have seen facility like sports, study etc. which I like the most
What are your hobbies?: Sports, traveling etc
What are your strengths?: My patience
What are your weaknesses?: nil
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