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: DEG2172737 Name: MALCOLM FERNANDES
  Address: A4/301, CITADEL ENCLAVE B.T. KAWADE ROAD, GHORPURI GAON, MUNDHWA P.O. PUNE
Telephone No.: 08208746435 Mobile no: 7769035145
E-mail: fernsmalcolm@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: 431668457
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2172737 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: DEG2172737
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MALCOLM FERNANDES
Mother's Name: SHANTHI FERNANDES
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 May 2003 Nationality: INDIAN
Place of Birth: PUNE Personal Identification Mark: BLACK MOLE ON LEFT SHOULDER
Blood Group: B -  
 
Date of Birth (DD/MM/YY): 28 May 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : MALCOLM FERNANDES Passport No.: U4047113
Date of Expiry: 13 Aug 2030 Place of Issue: PUNE
(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: A4/301, CITADEL ENCLAVE B.T. KAWADE ROAD, GHORPURI GAON, MUNDHWA P.O. PUNE
State: Maharashtra Country: India
Pin: 411036 City/District: PUNE
Mobile no: 7769035145 Telephone No. with STD code: 08208746435
Aadhar Card No:335623063444 E-mail: fernsmalcolm@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MARK FERNANDES Relationship with candidate: FATHER
Parents Date of Birth: 03 Jul 1968 Parent's/Guardian's Occupation/Designation: ADMINISTRATIVE COORDINATOR
   
Office Address:
   
Address: THE BISHOPS CO-ED SCHOOL, UNDRI, PUNE
Country: India State: Maharashtra
City/District: PUNE Pin: 411028
Tel: Mobile no.: 8208746435
Fax: Email: fernsmalcolm@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: THE ARMY PUBLIC SCHOOL- PUNE School: THE ARMY PUBLIC SCHOOL- PUNE
City: PUNE City: PUNE
English %: 82 Board Roll No./Seat No.: 15616256
Aggregate Percentage: 81 School/College Code: 34028
  Address of School/College: THE ARMY PUBLIC SCHOOL, GHORPURI, PUNE
  Centre code: 3194
  Pin: 411001
  Contact Nos:
  Email: apspune01@gmail.com
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 90 90
Chemistry 100 69 69
Mathematics 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 82
English 100 88 88
   
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
08/2018 House Sports Captain School 2
09/2019 Basketball CBSE Cluster 8
09/2019 Table Tennis Zilla Parishad 4
09/2019 Basketball Zilla Parishad 4
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am preparing for NDA and IMU- CET.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Being a son of an Ex- Serviceman, it is my dream to join any service in uniform with an adventurous career. I have found this opportunity in Merchant Navy.
Why do you wish to join TMI?: I want to join the best maritime institute of India and get myself trained in it.
What are your hobbies?: Playing Basketball, Table Tennis and Badminton.
What are your strengths?: I am a sportsperson and an athlete. Disciplined and Punctual.
What are your weaknesses?: I do not rest until I accomplish my goal.
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card 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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