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: DEG2183650 Name: Patekar Prajwal Sanjay
  Address: 4D Akshar Estate Kathe Lane Dwarka Nashik
Telephone No.: 08793226107 Mobile no: 8793226107
E-mail: prajwalpatekar999@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: 434562708
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2183650 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: DEG2183650
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Patekar Prajwal Sanjay
Mother's Name: Aparna Sanjay Patekar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jun 2003 Nationality: Indian
Place of Birth: Nashik Personal Identification Mark: mole on left hand
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 13 Jun 2003 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Patekar Prajwal Sanjay Passport No.: P9657421
Date of Expiry: 12 Jun 2021 Place of Issue: Thane
(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: 4D Akshar Estate Kathe Lane Dwarka Nashik
State: Maharashtra Country: India
Pin: 422011 City/District: Nashik
Mobile no: 8793226107 Telephone No. with STD code: 08793226107
Aadhar Card No:357616827335 E-mail: prajwalpatekar999@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay Krishnarao Patekar Relationship with candidate: Father
Parents Date of Birth: 08 Mar 1962 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: College Road Nashik
Country: India State: Maharashtra
City/District: Nashik Pin: 422011
Tel: 07263859529 Mobile no.: 9423968364
Fax: Email: patekarpriyanka95@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Nirmala Convent High School School: Shri Pramod Patil Jr College
City: Nashik City: Nashik
English %: 62 Board Roll No./Seat No.: S006961
Aggregate Percentage: 81 School/College Code: 1317052
  Address of School/College: Gangapur Road
  Centre code: 0114
  Pin: 422011
  Contact Nos:
  Email: info@sppac.ac.in
  Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 88 88
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 83.33
English 100 85 85
   
IMU CET Application Number: CET21U1005268  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing For Competitive Exams
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it is very different for other streams
Why do you wish to join TMI?: because it is of the best institute in India
What are your hobbies?: Cycling,Cooking
What are your strengths?: Always eager to learn new things
What are your weaknesses?: a bit lazy
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport 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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