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: DEG2180108 Name: K SUBRAMANYA BHAT
  Address: 7th cross Gandhinagar ladyhill Mangaluru Dakshina Kannada
Telephone No.: 9019981568 Mobile no: 9019981568
E-mail: bhatsubramanya2909@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 437969124
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2180108 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: DEG2180108
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: K SUBRAMANYA BHAT
Mother's Name: Vasudha N Bhat
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Mar 2002 Nationality: Indian
Place of Birth: Mangalore Personal Identification Mark: Scar on left temple
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 29 Mar 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : SUBRAMANYA KUMBLA BHAT Passport No.: U4034889
Date of Expiry: 21 Jun 2021 Place of Issue: BENGALURU
(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: 7th cross Gandhinagar ladyhill Mangaluru Dakshina Kannada
State: Karnataka Country: India
Pin: 575003 City/District: Mangaluru
Mobile no: 9019981568 Telephone No. with STD code: 9019981568
Aadhar Card No:977038564123 E-mail: bhatsubramanya2909@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Narasimha bhat Relationship with candidate: Father
Parents Date of Birth: 12 Oct 1965 Parent's/Guardian's Occupation/Designation: Businessman
   
Office Address:
   
Address: 1-71/26,bhatra kumeru padavinangady Mangalore dakshina kannada
Country: India State: Karnataka
City/District: Mangaluru Pin: 575008
Tel: 09632448909 Mobile no.: 9449387277
Fax: Email: 12narasimhabhat@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Karnataka Board: Karnataka
School: Canara high school urwa School: Canara college
City: Mangaluru City: Mangaluru
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Address of School/College: Mg road Mangaluru 575003
  Centre code:
  Pin: 575003
  Contact Nos: 08242492561
  Email: canarapu@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 ?: Working part time or travelling
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because i think im good at it
Why do you wish to join TMI?: Best college I could think of
What are your hobbies?: Travelling or riding
What are your strengths?: Problem solving capability and leadership skills
What are your weaknesses?: Addiction of junk food
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 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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