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.Tech. Marine Engineering
Dossier ID: DEG2172491 Name: Cbse appreaing
  Address: VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418 VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418 VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418
Telephone No.: +919334556365 Mobile no: 9334556365
E-mail: gopikishan060@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 DEG2172491 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.Tech. Marine Engineering
Dossier ID: DEG2172491
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Cbse appreaing
Mother's Name: Nilu jha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jan 2004 Nationality: Indian
Place of Birth: Darbhaga Personal Identification Mark: Mole
Blood Group: O -  
 
Date of Birth (DD/MM/YY): 10 Jan 2004 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: VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418 VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418 VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418
State: Bihar Country: India
Pin: 845418 City/District: Motihari
Mobile no: 9334556365 Telephone No. with STD code: +919334556365
Aadhar Card No:657503402691 E-mail: gopikishan060@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Satish Kumar jha Relationship with candidate: Son
Parents Date of Birth: 01 Jan 1973 Parent's/Guardian's Occupation/Designation: Marketing
   
Office Address:
   
Address: VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418 VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418 VILLAGE JAMUA POST JAMUA POLICE STATION DHAKA DISTRICT EAST-CHAMOARAN BIHAR 845418
Country: India State: Bihar
City/District: Motihari Pin: 845418
Tel: 062929708469373 Mobile no.: 9334556365
Fax: 06250 Email: aryanjha6295@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: Sanskriti public school School: Sanskriti public school
City: Motihari City: Motihari
English %: 40 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Address of School/College: Motihari
  Centre code:
  Pin: 845418
  Contact Nos: 9334556365
  Email: gopikishan060@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number: 561419  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Yes I wish
What are your hobbies?: Signing
What are your strengths?: Active listening, and problem solving
What are your weaknesses?: Nothing
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