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: DEG2176239 Name: Barnil Laha
  Address: Santiranjan Guha Path, Rathtala, Balurghat , Dakshin Dinajpur, West Bengal Same
Telephone No.: Mobile no: 9933980611
E-mail: sejutibasu521@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: 428346261
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2176239 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DEG2176239
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Barnil Laha
Mother's Name: Sejati Basu Laha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Jul 2003 Nationality: Indian
Place of Birth: Balurghat Personal Identification Mark: Mole under left Arm
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 24 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: Santiranjan Guha Path, Rathtala, Balurghat , Dakshin Dinajpur, West Bengal Same
State: West Bengal Country: India
Pin: 733101 City/District: Balurghat
Mobile no: 9933980611 Telephone No. with STD code:
Aadhar Card No: E-mail: sejutibasu521@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sejuti Basu Laha Relationship with candidate: Son
Parents Date of Birth: 14 Jun 1972 Parent's/Guardian's Occupation/Designation: Teaching
   
Office Address:
   
Address: Santiranjan Guha Path, Rathtala, Balurghat , Dakshin Dinajpur, West Bengal Same
Country: India State: West Bengal
City/District: Dakshin Dinajpur Pin: 733101
Tel: Mobile no.: 9933980611
Fax: Email: sejutibasu521@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Techno India Group Public School School: Techno India Group Public School Dakshin Dinajpur WB
City: Balurghat City: Balurghat
English %: 88 Board Roll No./Seat No.: 12656897
Aggregate Percentage: 88 School/College Code: 15731
  Address of School/College: Mongalpur, Near District Jail, Balurghat, Dakshin Dinajpur, West Bengal
  Centre code:
  Pin: 733103
  Contact Nos: 9907396545
  Email: sejutibasu521@gmail.com
  Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 88 88
Chemistry 100 86 86
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 81.67
English 100 92 92
   
IMU CET Application Number: 6003140  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2015 Tae Kwon Do Boys Under 17 years State Level Third Place
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By learning Different Languages and preparing of different exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: This course is perfect for me as I want to be a Merchant Navi Officer.
Why do you wish to join TMI?: Because Asia s number 1 institute and also from this institute i can learn more about merchant navi
What are your hobbies?: Playing Guitar
What are your strengths?: Adoubt any situation , leadership
What are your weaknesses?: Overly cautious, Straight Forward
How do you intend to meet the expenses of this program?: 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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form