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: DEG2178786 Name: Rohit Raj
  Address: Vill - Jamunapur Post - Amhara PS- Bihta District-Patna
Telephone No.: Mobile no: 8797133870
E-mail: rohitraj6200762504@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 429796188
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2178786 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: DEG2178786
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rohit Raj
Mother's Name: Prabha Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Sep 2002 Nationality: Indian
Place of Birth: Bihta Personal Identification Mark: Cut on right eyebrow
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 21 Sep 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: Vill - Jamunapur Post - Amhara PS- Bihta District-Patna
State: Bihar Country: India
Pin: 801103 City/District: Patna
Mobile no: 8797133870 Telephone No. with STD code:
Aadhar Card No:445012794482 E-mail: rohitraj6200762504@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Abhay Kumar Relationship with candidate: Father
Parents Date of Birth: 13 Jul 1977 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Krishna Nagar Society Road no.1 Bihta patna
Country: India State: Bihar
City/District: Patna Pin: 801103
Tel: Mobile no.: 9204346654
Fax: Email: criticrohit@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Jawahar Navodaya vidyalaya Buxar School: Jawahar Navodaya vidyalaya Buxar
City: Buxar City: Buxar
English %: 84 Board Roll No./Seat No.: 7610156
Aggregate Percentage: 64 School/College Code: 08264
  Address of School/College: Jawahar Navodaya vidyalaya Dumraon Buxar Bihar
  Centre code: 7033
  Pin: 802129
  Contact Nos:
  Email: buxarjnv@gmail.com
  Aggregate Percentage: 62
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 54 54
Chemistry 100 61 61
Mathematics 100 33 33
Physics, Chemistry & Mathematics combined Percentage: 49.33
English 100 84 84
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Online Classes and Tutitions
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think it will the best job i can get.. and this is my dream too
Why do you wish to join TMI?: This is my Dream and i love marine Engineering
What are your hobbies?: Playing, Reading Books, Sports
What are your strengths?: Mom, Dad , and my family
What are your weaknesses?: Mom
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 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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