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: DEG2175669 Name: AYAN MUKHERJEE
  Address: 56 Pramathanagar Main road parsudih jamshedpur
Telephone No.: 09608400339 Mobile no: 9608400339
E-mail: ayan02mukherjee@outlook.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: 426440930
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2175669 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: DEG2175669
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: AYAN MUKHERJEE
Mother's Name: JAYA MUKHERJEE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Oct 2002 Nationality: INDIAN
Place of Birth: JAMSHEDPUR Personal Identification Mark: AADHAR CARD
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 11 Oct 2002 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: 56 Pramathanagar Main road parsudih jamshedpur
State: Jharkhand Country: India
Pin: 831002 City/District: EAST SINGHBHUM
Mobile no: 9608400339 Telephone No. with STD code: 09608400339
Aadhar Card No:269237124365 E-mail: ayan02mukherjee@outlook.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: JAYA MUKHERJEE Relationship with candidate: MOTHER
Parents Date of Birth: 11 Nov 1967 Parent's/Guardian's Occupation/Designation: LECTURER
   
Office Address:
   
Address: 56 Pramathanagar Main road parsudih jamshedpur
Country: India State: Jharkhand
City/District: EAST SINGHBHUM Pin: 831002
Tel: 07909056913 Mobile no.: 7909056913
Fax: Email: jaya.mukherjee44@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: JUSCO SCHOOL SOUTH PARK School: JUSCO SCHOOL SOUTH PARK
City: JAMSHEDPUR City: JAMSHEDPUR
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 84 School/College Code:
  Address of School/College: DISPENSARY ROAD, NEAR RELIANCE FRESH, BISTUPUR JAMSHEDPUR
  Centre code:
  Pin: 831001
  Contact Nos: 06576451712
  Email: principal.jssp@jemfoundation.in
  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
25/12/2018 ORCHESTRA SCHOOL LEVEL KEYBOARD PLAYER
15/11/2018 CRICKET SCHOOL LEVEL HOUSE CAPTAIN
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
25/12/2016 SYNTHESIZER 2YEARS
25/12/2017 RABINDRASANGEET 4 YEARS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Enhancing my english speaking and writing skills and as suggested by teachers in the online induction programme i am also looking forward to improve my physical condition.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I have always fantasized about sailing and becoming a captain in a ship. Moreover, on seeing one of my seniors studying in TMI, i also developed a passion for joining in this field.
Why do you wish to join TMI?: It is one of the top institutes in India for nautical science which will help me to achieve my goals faster by graduating from your prestigious institution.
What are your hobbies?: PHOTOGRAPHY, KEYBOARD PLAYING
What are your strengths?: TAKING INITIATIVE IN WHICHEVER WAY POSSIBLE.
What are your weaknesses?: I AM EXTREMELY GOAL OBSESSED.
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
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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