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.Sc. Nautical Science
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dsouza Noel Sanford Roshan
Mother's Name: Theresa Nora Dsouza
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 May 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: MOLE ON BACKSIDE OF NECK
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 22 May 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Dsouza Noel Sanford Passport No.: U4094474
Date of Expiry: 13 Sep 2030 Place of Issue: Mumbai
(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: ROOM NO 3, MAGDALENE HOUSE, OPP CAROLL BAKERY, RAMKRISHNA MANDIR ROAD, KONDIVITA, ANDHERI EAST,
State: Maharashtra Country: India
Pin: 400059 City/District: Mumbai
Mobile no: 9820415851 Telephone No. with STD code:
Aadhar Card No:963246467388 E-mail: noeld2205@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ROSHAN STEPHEN DSOUZA Relationship with candidate: FATHER
Parents Date of Birth: 03 Aug 1972 Parent's/Guardian's Occupation/Designation: SERVICE/ASSOCIATE VICE PRESIDENT
   
Office Address:
   
Address: ICICI PRUDENTIAL LIFE INSURANCE CO LTD, RAHEJA TIPPCO TOWERS,LOWER BASEMENT, NEXT TO PASSPORT OFFICE, RANI SATI MARG, MALAD EAST
Country: India State: Maharashtra
City/District: Mumbai Pin: 400097
Tel: Mobile no.: 9833516704
Fax: Email: roshan030872@rediffmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: ST JOHN THE EVANGELIST HIGH SCHOOL MAROL School: DIVINE CHILD HIGH SCHOOL AND JUNIOR COLLEGE
City: Mumbai City: Mumbai
English %: 75 Board Roll No./Seat No.: M069695
Aggregate Percentage: 85 School/College Code: 3202032
  Address of School/College: SIR M.V.ROAD, ANDHERI EAST, MUMBAI
  Centre code: 3666
  Pin: 400093
  Contact Nos:
  Email: info@divinechildandheri.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 77 77
Chemistry 100 63 63
Mathematics 100 68 68
Physics, Chemistry & Mathematics combined Percentage: 69.33
English 100 66 66
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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

 

___________________

Date ________________

 
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