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: DEG2176147 Name: SURAJ KUMAR
  Address: MAIN ROAD TURAHA TOLI
Telephone No.: Mobile no: 6206674306
E-mail: surajkr0107@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 426865082
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2176147 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: DEG2176147
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SURAJ KUMAR
Mother's Name: LAXMI DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 May 2002 Nationality: INDIAN
Place of Birth: BILASPUR Personal Identification Mark: A CUT MARK ON HEAD
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 07 May 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: MAIN ROAD TURAHA TOLI
State: Bihar Country: India
Pin: 802101 City/District: BUXAR
Mobile no: 6206674306 Telephone No. with STD code:
Aadhar Card No:673505190176 E-mail: surajkr0107@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MADHUSUDAN PRASAD Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1967 Parent's/Guardian's Occupation/Designation: BUSINESS
   
Office Address:
   
Address: MAIN ROAD TURAHA TOLI
Country: India State: Bihar
City/District: BUXAR Pin: 802101
Tel: Mobile no.: 8873485237
Fax: Email: surajk7118563@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: SVM School: DAV
City: BUXAR City: BUXAR
English %: 90 Board Roll No./Seat No.: 22610824
Aggregate Percentage: 88 School/College Code: 65186
  Address of School/College: LALGANJ BUXAR
  Centre code: 6537
  Pin: 802103
  Contact Nos:
  Email: davbuxarbihar@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 73 73
Mathematics 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 79
English 100 82 82
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: taken a drop year for preparation for competitive exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: good career option
Why do you wish to join TMI?: to complete graduation
What are your hobbies?: cycling
What are your strengths?: my parents
What are your weaknesses?: cannot study for long time
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 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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