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: DEG2182463 Name: Nivedh Kumar S
  Address: Padinjarethara Vandazhi 2,Mudappallur Palakkad,Kerala
Telephone No.: 09495228436 Mobile no: 7907822596
E-mail: nivedhkumar8521@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: 433472511
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2182463 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: DEG2182463
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Nivedh Kumar S
Mother's Name: Priya V
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Nov 2002 Nationality: Indian
Place of Birth: Aalathur Personal Identification Mark: Mole on the right side of the forehead
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 28 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: Padinjarethara Vandazhi 2,Mudappallur Palakkad,Kerala
State: Kerala Country: India
Pin: 678705 City/District: Palakkad
Mobile no: 7907822596 Telephone No. with STD code: 09495228436
Aadhar Card No:320882078881 E-mail: nivedhkumar8521@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: P Sasikumar Relationship with candidate: Father
Parents Date of Birth: 29 Dec 1974 Parent's/Guardian's Occupation/Designation: Electrician
   
Office Address:
   
Address: Padinjarethara Vandazhi 2,Mudappallur Palakkad,Kerala
Country: India State: Kerala
City/District: Palakkad Pin: 678705
Tel: 09495228436 Mobile no.: 9495228436
Fax: Email: nivedhkumar8521@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Kerala
School: St.Francis school School: CVM Higher Secondary School
City: Palakkad City: vandazhy
English %: 83 Board Roll No./Seat No.: 8245104
Aggregate Percentage: 76 School/College Code: 09146
  Address of School/College: CVM Higher Secondary School, Vandazhy, Palakkad, Kerala
  Centre code: 09146
  Pin: 678706
  Contact Nos:
  Email: cvmhssvandazhy@gmail.com
  Aggregate Percentage: 89
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 154 77
Chemistry 200 171 85.5
Mathematics 200 159 79.5
Physics, Chemistry & Mathematics combined Percentage: 80.67
English 100 95 95
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
10/2019 Cricket Kerala North Zone Second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing for IMUCET
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: The deep desire for adventure and travelling
Why do you wish to join TMI?: Because I believe that TMI will provide and lead a path of success for its students as a mariner with all their knowledge and effort.
What are your hobbies?: Playing cricket, surfing the internet, reading, videogames.
What are your strengths?: Team Player, open minded, Creative
What are your weaknesses?: I am the biggest critic of my own work
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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