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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Sc. Nautical Science
Dossier ID: DEG2179260 Name: Kamlesh kumar
  Address: VILL- CHAUHATTA PO-CHAUHATTA PS -manpur 845451 west champaran bettiah
Telephone No.: 8002563451 Mobile no: 8002563451
E-mail: kamleshkumarbth5555@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13906974154
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2179260 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2179260
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kamlesh kumar
Mother's Name: Lalita devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Feb 2001 Nationality: INDIAN
Place of Birth: Bettiah Personal Identification Mark: Mole on Mark on nose
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 11 Feb 2001 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- CHAUHATTA PO-CHAUHATTA PS -manpur 845451 west champaran bettiah
State: Bihar Country: India
Pin: 845451 City/District: West Champaran
Mobile no: 8002563451 Telephone No. with STD code: 8002563451
Aadhar Card No:669329306256 E-mail: kamleshkumarbth5555@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Jangbahadur yadav Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1968 Parent's/Guardian's Occupation/Designation: Agri
   
Office Address:
   
Address: Vill-chauhatta Po-chauhatta ps-manpur West champaran bettiah bihar
Country: India State: Bihar
City/District: Bettiah Pin: 845451
Tel: 9199992519 Mobile no.: 8809757677
Fax: 845451 Email: kamleshcz123@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Bihar Board: Bihar
School: KR HIGH SCHOOL BETTIAH School: KR HIGH SCHOOL BETTIAH
City: Bettiah City: Bettiah
English %: 45 Board Roll No./Seat No.: 19010009
Aggregate Percentage: 82 School/College Code: 35034
  Address of School/College: KR HIGH SCHOOL BETTIAH WEST CHAPARAN
  Centre code: 35034
  Pin: 845438
  Contact Nos:
  Email: kamleshcz123@gmail.com
  Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 81 81
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 76.33
English 100 78 78
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
06/2015 Natak State 3
06/2015 Loyala cup football tournament School 1
07/2016 Loyalty cup football tournament SCHOOL 1
12/2015 Natak District 2
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
09/2015 NCC 10 days
08/2014 NCC 10 day
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: My dream
Why do you wish to join TMI?: One of the best
What are your hobbies?: Play football
What are your strengths?: Confident
What are your weaknesses?: Singing songs
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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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