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: DEG2179386 Name: Deepak Sisodiya
  Address: 216/25 opp. Vaishnav market Dhapi marble , banar road Jodhpur, rajasthan
Telephone No.: Mobile no: 8824999638
E-mail: deepaksisodiya5001@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2179386 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: DEG2179386
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Deepak Sisodiya
Mother's Name: Kanchan kanwar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Nov 2000 Nationality: Indian
Place of Birth: Sojat city Personal Identification Mark: Moles on face
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 08 Nov 2000 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: 216/25 opp. Vaishnav market Dhapi marble , banar road Jodhpur, rajasthan
State: Rajasthan Country: India
Pin: 342001 City/District: Jodhpur
Mobile no: 8824999638 Telephone No. with STD code:
Aadhar Card No:857013891829 E-mail: deepaksisodiya5001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sunil kumar Relationship with candidate: Father
Parents Date of Birth: 06 Jul 1971 Parent's/Guardian's Occupation/Designation: Pvt. Teacher
   
Office Address:
   
Address: 216/25 opp. Vaishnav market Dhapi marble , banar road Jodhpur, rajasthan
Country: India State: Rajasthan
City/District: Jodhpur Pin: 342001
Tel: Mobile no.: 9460820308
Fax: Email: deepaksisodiya5001@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: CBSE Board: Rajasthan
School: Central academy School: Shri Janata sr. Sec. School
City: Jodhpur City: Jodhpur
English %: 64 Board Roll No./Seat No.: 2631907
Aggregate Percentage: 62 School/College Code: 1171092
  Address of School/College: Gujarawas , jodhpur
  Centre code: 17042
  Pin: 342027
  Contact Nos: 9414720058
  Email: deepaksisodiya5001@gmail.com
  Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 66 66
Chemistry 100 74 74
Mathematics 100 53 53
Physics, Chemistry & Mathematics combined Percentage: 64.33
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for india airforce
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: This is best way to serve the GDP
Why do you wish to join TMI?: One of my friends refer me this
What are your hobbies?: Gymming
What are your strengths?: My willingness to do hardwork
What are your weaknesses?: Nothing
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
 
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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