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: DEG2174827 Name: PIMPALKAR SHIVAM VILASRAO
  Address: SAIDHAM NAGAR TAKARKHEDA MORE ROAD ANJANGAON SURJI
Telephone No.: Mobile no: 9404817789
E-mail: shivampimpalkar9@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: 427014207
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2174827 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: DEG2174827
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PIMPALKAR SHIVAM VILASRAO
Mother's Name: SANGITA VILASRAO PIMPALKAR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Mar 2003 Nationality: INDIAN
Place of Birth: SATEGAON Personal Identification Mark: MOLE ON HEAD
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 24 Mar 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: SAIDHAM NAGAR TAKARKHEDA MORE ROAD ANJANGAON SURJI
State: Maharashtra Country: India
Pin: 444705 City/District: AMRAVATI
Mobile no: 9404817789 Telephone No. with STD code:
Aadhar Card No:849279193157 E-mail: shivampimpalkar9@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: VILASRAO WASUDEO PIMPALKAR Relationship with candidate: FATHER
Parents Date of Birth: 11 Dec 1971 Parent's/Guardian's Occupation/Designation: GOVT SERVENT
   
Office Address:
   
Address: SAIDHAM NAGAR TAKARKHEDA MORE ROAD ANJANGAON SURJI
Country: India State: Maharashtra
City/District: AMRAVATI Pin: 444705
Tel: Mobile no.: 9405652789
Fax: Email: shivampimpalkar9@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Maharashtra Board: Maharashtra
School: SITABAI SANGAI HIGH SCHOOL ANJANGAON SURJI TQ ANJANGAON SURJI DIST AMRAVATI School: SITARAMJI GANORKAR JR COLLEGE PATHROT
City: ANJANGAON SURJI City: ACHALPUR
English %: 83 Board Roll No./Seat No.: V021099
Aggregate Percentage: 86 School/College Code: 0210027
  Address of School/College: AT PO PATHROT TQ ACHALPUR DIST AMRAVATI
  Centre code: 0473
  Pin: 444808
  Contact Nos:
  Email: shivampimpalkar9@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 KABADDI NATIONAL PARTICIPANT
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION FOR IMU
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: BECAUSE I AM INTRESTED IN NAUTICAL SCIENCE AND I DECIDED TO BUILD MY CAREER IN THAT
Why do you wish to join TMI?: BECAUSE IT IS THE BEST COLLEGE IN INDIA
What are your hobbies?: READING, SPORTS, WRITING
What are your strengths?: SELF CONFIDENCE
What are your weaknesses?: NA
How do you intend to meet the expenses of this program?: Other - NOT DECIDE
 
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

 

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Date ________________

 
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