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: DEG2177026 Name: PRABHAT DURGANI
  Address: 33 MIG, Sector-3 Hemant Vihar, Barra-2, KANPUR
Telephone No.: Mobile no: 7080104651
E-mail: prabhatdurgani16@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1229 (Includes Convenience fee of ₹ 29.0 ) DD Number: -
Issuing Bank: - Transaction Id: 441757448
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2177026 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: DEG2177026
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PRABHAT DURGANI
Mother's Name: BANDANA DURGANI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Nov 2002 Nationality: INDIA
Place of Birth: KANPUR Personal Identification Mark: mole on left side of nose
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 08 Nov 2002 Nationality: INDIA
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: 33 MIG, Sector-3 Hemant Vihar, Barra-2, KANPUR
State: Uttar Pradesh Country: India
Pin: 208027 City/District: Kanpur
Mobile no: 7080104651 Telephone No. with STD code:
Aadhar Card No:9853 7048 9823 E-mail: prabhatdurgani16@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ROOPESH DURGANI Relationship with candidate: Father
Parents Date of Birth: 15 Aug 1972 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 507 Kalpana Plaza, Birhana Road Near KPM Hospital, Kanpur
Country: India State: Uttar Pradesh
City/District: Kanpur Pin: 208001
Tel: Mobile no.: 9793449999
Fax: Email: roopesh151617@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: PURANCHANDRA VIDYANIKETAN School: PURANCHANDRA VIDYANIKETAN
City: Kanpur City: Kanpur
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Address of School/College: Hemant Vihar, Barra-2, Kanpur
  Centre code:
  Pin: 208027
  Contact Nos:
  Email: principalpcvn@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:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2017 Boxing 1 Year
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Improving my boxing skills and learning business.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always wanted to be here
Why do you wish to join TMI?: Its amongst the top colleges
What are your hobbies?: Travellling
What are your strengths?: hard worker, Honesty, Leadership skills,Patience
What are your weaknesses?: Trouble saying no, I sometimes lack confidence
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 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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