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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mahip Phophalia
Mother's Name: Kavita phophalia
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 31 Jul 2003 Nationality: Indian
Place of Birth: Jaipur Personal Identification Mark: Have a scar on face
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 31 Jul 2003 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: 155 vivek vihar New sanganer road
State: Rajasthan Country: India
Pin: 302019 City/District: Jaipur
Mobile no: 9352441182 Telephone No. with STD code: 09352441182
Aadhar Card No:819982962893 E-mail: mahip.phophalia@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay phophalia Relationship with candidate: Father
Parents Date of Birth: 21 Sep 1972 Parent's/Guardian's Occupation/Designation: Business man
   
Office Address:
   
Address: 155 vivek vihar New sanganer road
Country: India State: Rajasthan
City/District: Jaipur Pin: 302019
Tel: 09352441182 Mobile no.: 9414784743
Fax: Email: mahip.phophalia@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Maheshwari public school School: Maheshwari public school
City: Jaipur City: Jaipur
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: Maheshwari public school sector 4 jawahar nagar jaipur
  Centre code:
  Pin: 302004
  Contact Nos:
  Email: mahip.phophalia@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2019 Kabbadi Interachool 2 nd
12/2019 Volleyball Ncc rank b camp 1 st
12/2019 Tug of war Ncc rank B camp 1 st
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
03/2021 English 3 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will make my body healthy qnd do exercise and i will Work hard on my speaking skills
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Becausw i always have a dream of doing a adventurous Qnd travelling related job . I also want to become a captain.
Why do you wish to join TMI?: Because it is the best college in india.
What are your hobbies?: Badminton
What are your strengths?: I never give up easily
What are your weaknesses?: I am a little lazy .
How do you intend to meet the expenses of this program?: Own Resources,Other - Scholarship
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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 ________________

 
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