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: DEG2178393 Name: Tanisha Jain
  Address: 5,amar singh marg Freeganj
Telephone No.: 9713371879 Mobile no: 9713371879
E-mail: tanishajain1020@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 430784351
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2178393 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: DEG2178393
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Tanisha Jain
Mother's Name: Neelam Jain
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Oct 2002 Nationality: Indian
Place of Birth: Ujjain Personal Identification Mark: Mole on left side of face
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 29 Oct 2002 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Full Name (as per Passport) : Tanisha Jain 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: 5,amar singh marg Freeganj
State: Madhya Pradesh Country: India
Pin: 456010 City/District: Ujjain
Mobile no: 9713371879 Telephone No. with STD code: 9713371879
Aadhar Card No:3854 6091 7158 E-mail: tanishajain1020@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Neelam Jain Relationship with candidate: Mother
Parents Date of Birth: 19 Dec 1967 Parent's/Guardian's Occupation/Designation: Stamp vender
   
Office Address:
   
Address: 5,amar singh marg Freeganj
Country: India State: Madhya Pradesh
City/District: Ujjain Pin: 456010
Tel: Mobile no.: 9713371879
Fax: Email: tanishajain1020@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: St Thomas school School: Christu jyoti convent school
City: Ujjain City: Ujjain
English %: 73 Board Roll No./Seat No.: 19666477
Aggregate Percentage: 75 School/College Code: 50165
  Address of School/College: Engineering College Road, Motilal Nehru, Nagar, Ujjain, Madhya Pradesh 456001
  Centre code: No
  Pin: 456010
  Contact Nos: 9713371879
  Email: tanishajain1020@gmail.com
  Aggregate Percentage: 89
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 90 90
Chemistry 100 91 91
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 87.33
English 100 92 92
   
IMU CET Application Number: No  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By playing sports
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I want to challenge myself that I can do that in my best way
Why do you wish to join TMI?: It is best organization to fulfill my dream.
What are your hobbies?: Sports , listing music
What are your strengths?: Family
What are your weaknesses?: Being too honest.
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

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Date ________________

 
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