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: DEG2182412 Name: Jagtap Sahil Madhukar
  Address: A/4,Shripal Sagar , Virat nagar,Virar west Virar-401303
Telephone No.: Mobile no: 8888175424
E-mail: sahiljagtap787@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 433519148
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2182412 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: DEG2182412
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Jagtap Sahil Madhukar
Mother's Name: Savita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Dec 2002 Nationality: INDIAN
Place of Birth: Satara Personal Identification Mark: No mark
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 29 Dec 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: A/4,Shripal Sagar , Virat nagar,Virar west Virar-401303
State: Maharashtra Country: India
Pin: 401303 City/District: Virar
Mobile no: 8888175424 Telephone No. with STD code:
Aadhar Card No:937246580696 E-mail: sahiljagtap787@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Madhukar K Jagtap Relationship with candidate: Father
Parents Date of Birth: 18 Dec 1969 Parent's/Guardian's Occupation/Designation: Cab Driver
   
Office Address:
   
Address: A/4,Shripad sagar, Virat Nagar,Virar West Virar-401303
Country: India State: Maharashtra
City/District: Virar Pin: 401303
Tel: Mobile no.: 9653241164
Fax: Email: madhukarjagtap69@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: National English High School School: Utkarsh Vidyalaya Junior College
City: Virar City: Virar
English %: 78 Board Roll No./Seat No.: M038222
Aggregate Percentage: 90 School/College Code: 1808007
  Address of School/College: Virar West Tal Vasai Dist Palghar Pincode 401303
  Centre code: 2321
  Pin: 401303
  Contact Nos:
  Email: utkarshajrcollegelc@gmail.com
  Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 85 85
Chemistry 100 76 76
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 85
English 100 64 64
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: 1.Watching informative videos on youtube. 2.Learned to drive car. 3.Watched some Web series.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: 1.Like to work in group. 2.Easily adjust in new environment . 3.Physics and Mathematics being favourite have interest in Engineering.
Why do you wish to join TMI?: Reputed Institute in India for Marine Engineering.
What are your hobbies?: Drawing sketching ,Photography
What are your strengths?: Creative, focused
What are your weaknesses?: Bit stage fear
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 Class XII marksheet
 
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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