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: DEG2174192 Name: PUSHPAM KUMAR
  Address: S/O pranod kumar vill. salempur post shikandarpur p.s shakurabad jehanabad
Telephone No.: 08651504413 Mobile no: 7488552429
E-mail: pushpam8651@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425632197
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2174192 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: DEG2174192
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PUSHPAM KUMAR
Mother's Name: Anjusha kumari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Jun 2003 Nationality: Indian
Place of Birth: patna Personal Identification Mark: cut on right side of fore head
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 09 Jun 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : pushpam kumar Passport No.: U1833147
Date of Expiry: 23 Jan 2030 Place of Issue: patna
(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: S/O pranod kumar vill. salempur post shikandarpur p.s shakurabad jehanabad
State: Bihar Country: India
Pin: 804425 City/District: patna
Mobile no: 7488552429 Telephone No. with STD code: 08651504413
Aadhar Card No:715077576101 E-mail: pushpam8651@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: pramod kumar Relationship with candidate: father
Parents Date of Birth: 14 Jan 1973 Parent's/Guardian's Occupation/Designation: farmer
   
Office Address:
   
Address: pranod kumar vill. salempur post shikandarpur p.s shakurabad jehanabad
Country: India State: Bihar
City/District: patna Pin: 804425
Tel: 08651504413 Mobile no.: 8809653463
Fax: Email: pushpam8651@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Bihar Board: Bihar
School: D.A.V PUBLIC SCHOOL School: T.P.S COLLAGE
City: patna City: patna
English %: 60 Board Roll No./Seat No.: 21010400
Aggregate Percentage: 76 School/College Code: 11011
  Address of School/College: T.P.S COLLAGE PATNA
  Centre code: 800008
  Pin: 801105
  Contact Nos:
  Email: tpscollage1960@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 69 69
Mathematics 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 73
English 100 73 73
   
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
10/2016 vollyball cluster level winner
19/2017 vollyball cluster level winner
10/2018 vollyball zonal level runner
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2015 diploma in computr application 6 month
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing some extra circular activity like playing vollyball preparing for IMU-CET exam.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: through this degree we get to know very much about ship and culture of other places
Why do you wish to join TMI?: TMI is one of best maritime institute and its placement record is very good
What are your hobbies?: playing vollyboll, reading, traveling
What are your strengths?: self motivated, hard working and quick learner
What are your weaknesses?: over thinking
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

___________________

Date ________________

 
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