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: DEG2180020 Name: Pushpender Singh
  Address: M1/3 SMA NAVAL BASE
Telephone No.: Mobile no: 6305147317
E-mail: pushpendersingh16169@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 431075622
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2180020 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: DEG2180020
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Pushpender Singh
Mother's Name: Beens Singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Sep 2002 Nationality: INDIAN
Place of Birth: Vizag Personal Identification Mark: Scare on right eyebrow
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 09 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: M1/3 SMA NAVAL BASE
State: Kerala Country: India
Pin: 682004 City/District: Ernakulam
Mobile no: 6305147317 Telephone No. with STD code:
Aadhar Card No:382272020186 E-mail: pushpendersingh16169@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Udai Raj Singh Relationship with candidate: Father
Parents Date of Birth: 18 Jan 1973 Parent's/Guardian's Occupation/Designation: Indian Navy
   
Office Address:
   
Address: Regulating office INS Garuda
Country: India State: Kerala
City/District: Kochi Pin: 682004
Tel: Mobile no.: 9491354698
Fax: Email: pushpendersingh16169@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Navy Children School School: Navy children school
City: Visakhapatnam City: Visakhapatnam
English %: 78 Board Roll No./Seat No.: 20650778
Aggregate Percentage: 82 School/College Code: 59313
  Address of School/College: Nausena Baugh, Gandhigram, Post, Visakhapatnam, Andhra Pradesh
  Centre code: 5905
  Pin: 530005
  Contact Nos:
  Email: pushpendersingh16169@gmail.com
  Aggregate Percentage: 91
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 87 87
Chemistry 100 94 94
Mathematics 100 92 92
Physics, Chemistry & Mathematics combined Percentage: 91
English 100 89 89
   
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
05/2018 Scuba diving club camp Participated
10/2018 Basketball Inter house First
05/2018 Swimming Inter house Participated
06/2021 National Cadet Corps navy wing A
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: spend few time with my friends and started preparing for competitive exams.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes, I think b.tech is good for me because i thing it is a professional degree as well as in like engineering.
Why do you wish to join TMI?: Its one of the best institute to join merchant navy and fellow my passion for merchant navy
What are your hobbies?: swimming, cycling, basketball
What are your strengths?: hard working, punctual, passionate
What are your weaknesses?: General knowledge
How do you intend to meet the expenses of this program?: Own Resources,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

 

___________________

Date ________________

 
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