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: DEG2178885
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ASHOK SHAH
Mother's Name: MEENA DEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jul 2003 Nationality: INDIAN
Place of Birth: BAGAHA Personal Identification Mark: A CUT MARK ON THE FOR HEAD
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 18 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: WARD NO 10, NARAIPUR, BAGAHA BAGAHA WEST CHAMPARAN
State: Bihar Country: India
Pin: 845105 City/District: WEST CHAMPARAN
Mobile no: 7667251021 Telephone No. with STD code:
Aadhar Card No:697616242027 E-mail: vikashbagaha2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ASHOK SHAH Relationship with candidate: FATHER
Parents Date of Birth: 01 Jan 1983 Parent's/Guardian's Occupation/Designation: BUSSINES MAN
   
Office Address:
   
Address: WARD NO 10, NARAIPUR BAGAHA BAGAHA WEST CHAMPARAN
Country: India State: Bihar
City/District: WEST CHAMPARAN Pin: 845105
Tel: Mobile no.: 7667251021
Fax: Email: vikashbagaha2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Bihar
School: ARPA INTNL SCHOOL KALYANPUR EAST CHAMPARAN BR School: NADHI GHATI YOJNA UCHH VIDYALAY BALMIKINAGAR BAGAHA WEST CHAMPARAN
City: MOTIHARI City: BAGAHA
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 59 School/College Code: 35079
  Address of School/College: VALMIKINAGAR BAGAHA BIHAR
  Centre code:
  Pin: 845106
  Contact Nos:
  Email: vikashbagaha2003@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: YES
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: YES
Why do you wish to join TMI?: YES
What are your hobbies?: PLAY FUTBALL
What are your strengths?: YES
What are your weaknesses?: NO
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________