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: DEG2179702 Name: K Dhruv Devaiah
  Address: Home Bungalow Tata Coffee Ltd Pollibetta
Telephone No.: Mobile no: 9535077531
E-mail: dhruvdevaiah005@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 438166399
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2179702 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: DEG2179702
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: K Dhruv Devaiah
Mother's Name: Sareena Rajeev
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Feb 2003 Nationality: Indian
Place of Birth: Chikamagalu Personal Identification Mark: Birthmark on right forearm
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 05 Feb 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : K Dhruv Devaiah Passport No.:
Date of Expiry: Place of Issue: Mangalore
(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: Home Bungalow Tata Coffee Ltd Pollibetta
State: Karnataka Country: India
Pin: 571215 City/District: Kodagu
Mobile no: 9535077531 Telephone No. with STD code:
Aadhar Card No:5409 7931 6522 E-mail: dhruvdevaiah005@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajeev KG Relationship with candidate: Father
Parents Date of Birth: 01 Feb 1967 Parent's/Guardian's Occupation/Designation: Plantation executive
   
Office Address:
   
Address: Tata coffee Head office Pollibetta
Country: India State: Karnataka
City/District: Kodagu Pin: 571215
Tel: Mobile no.: 9448157131
Fax: Email: kg.rajeev@tatacoffee.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Karnataka
School: Coorg Public School School: Coorg Institute of Pre-University College
City: Gonnikoppal City: Ponnampet
English %: 92 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code: VV076
  Address of School/College: Halligatu, Ponnampet
  Centre code: 571216K
  Pin: 571216
  Contact Nos: 9611155457
  Email: info@citcoorg.edu.in
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 72 72
Chemistry 100 79 79
Mathematics 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 74.33
English 100 92 92
   
IMU CET Application Number: CET21U1003262  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
09/2018 Hockey State Second
09/2018 Athletics State Participation
09/2018 Football State Participation
09/2017 Athletics State Participation
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning new foreign languages.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Seamanship, Navigation, being in the shipping industry and travelling.
Why do you wish to join TMI?: Good faculty and high placements.
What are your hobbies?: Swimming, golf, trekking, travelling.
What are your strengths?: Patience and honesty.
What are your weaknesses?: Public speaking
How do you intend to meet the expenses of this program?: Own Resources
 
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
 
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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