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: DEG2180899
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: HIMANSHU DEEPAK PANCHBHAI
Mother's Name: LATA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Dec 2003 Nationality: INDIAN
Place of Birth: NAKADONGARI Personal Identification Mark: CUT MARK ON RIGHT LEG
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 02 Dec 2003 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: AT NAKADONGARI POST NAKADONGARI TA TUMSAR
State: Maharashtra Country: India
Pin: 441907 City/District: BHANDARA
Mobile no: 9356293412 Telephone No. with STD code:
Aadhar Card No:684237402438 E-mail: himanshupanchbhai212@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DEEPAK DHARMDAS PANCHBHAI Relationship with candidate: FATHER
Parents Date of Birth: 01 May 1972 Parent's/Guardian's Occupation/Designation: LABOUR
   
Office Address:
   
Address: AT DONGRI BUZURG POST DONGRI BUZURG TA TUMSAR
Country: India State: Maharashtra
City/District: BHANDARA Pin: 441907
Tel: Mobile no.: 9356293412
Fax: Email: himanshupanchbhai212@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: DAV MOIL PUBLIC SCHOOL SITASAONGI School: USA VIDYA NIKETAN TUMSAR
City: BHANDARA City: TUMSAR
English %: 63 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Address of School/College: TUMSAR
  Centre code:
  Pin: 441912
  Contact Nos:
  Email: himanshupanchbhai212@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 ?: after class XIII I will study about marrine enginneering
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: because I am very insprire about marrine engg.
Why do you wish to join TMI?: I like TMI college
What are your hobbies?: I like playing cricket
What are your strengths?: I am never give up whenver I win
What are your weaknesses?: I will imbalace when any one in problem
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

 

___________________

Date ________________