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.Tech. Marine Engineering
Dossier ID: DEG2180408 Name: Chinmay Milind Basle
  Address: Milind Basle, 1150 Eldeeco Udyan II Raksha Khand , Raibareilly road
Telephone No.: Mobile no: 6387544659
E-mail: chinmaybasle@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 431600517
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2180408 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.Tech. Marine Engineering
Dossier ID: DEG2180408
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Chinmay Milind Basle
Mother's Name: Vaishali Milind Basle
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 17 Nov 2002 Nationality: Indian
Place of Birth: Nagpur Personal Identification Mark: Mole on the left forehead
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 17 Nov 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: Milind Basle, 1150 Eldeeco Udyan II Raksha Khand , Raibareilly road
State: Uttar Pradesh Country: India
Pin: 226025 City/District: Lucknow
Mobile no: 6387544659 Telephone No. with STD code:
Aadhar Card No:789624301052 E-mail: chinmaybasle@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Milind Basle Relationship with candidate: Father
Parents Date of Birth: 02 Dec 1970 Parent's/Guardian's Occupation/Designation: Service/DGM
   
Office Address:
   
Address: Faiveley Transport Rail Technologies India Pvt Ltd Harita, Hosur
Country: India State: Tamil Nadu
City/District: Hosur Pin: 635109
Tel: Mobile no.: 9794996969
Fax: Email: mbasle70@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Kalyani Public School School: Delhi Public School
City: Nagara City: Lucknow
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 60 School/College Code:
  Address of School/College: Eldeeco Udyan II Branch
  Centre code:
  Pin: 226025
  Contact Nos:
  Email: chinmaybasle@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 ?: By grooming my personality, aquaring knowledge for further studies and doing my work accordingly.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think this is a good option for me because l will get to travel and learn about different cultures around the globe.
Why do you wish to join TMI?: TMI is the leading and prestigious institute and it gives a confidence for better career .
What are your hobbies?: Sketching, traveling, playing badminton.
What are your strengths?: Focused, determined, never say die attitude ,passionate.
What are your weaknesses?: Do not want to discuss
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 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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