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.Sc. Nautical Science
Dossier ID: DEG2184014 Name: Ishu Raj
  Address: s/o Rajesh kumar,panchyat riga 2 near saharh india bank sitamarhi
Telephone No.: 9661908002 Mobile no: 7872688506
E-mail: ishuraj943021@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 439144176
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2184014 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.Sc. Nautical Science
Dossier ID: DEG2184014
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ishu Raj
Mother's Name: Rajni Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Mar 2002 Nationality: Indian
Place of Birth: Sitamarhi Personal Identification Mark: cut on forehead
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 01 Mar 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: s/o Rajesh kumar,panchyat riga 2 near saharh india bank sitamarhi
State: Bihar Country: India
Pin: 843327 City/District: Sitamarhi
Mobile no: 7872688506 Telephone No. with STD code: 9661908002
Aadhar Card No:814184221695 E-mail: ishuraj943021@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh kumar Relationship with candidate: Father
Parents Date of Birth: 02 Jun 1984 Parent's/Guardian's Occupation/Designation: Bussiness
   
Office Address:
   
Address: s/o Rajesh kumar,panchyat riga 2 near saharh india bank sitamarhi
Country: India State: Bihar
City/District: Sitamarhi Pin: 843327
Tel: 09661908002 Mobile no.: 9955571484
Fax: Email: ishuraj943021@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: CBSE
School: Goethals Memorial School School: DPS
City: Kurseong City: Sitamarhi
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Address of School/College: Lagma
  Centre code:
  Pin: 843323
  Contact Nos: 7759879151
  Email: dpssitamarhikhan@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 ?: watching football
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Good Job
Why do you wish to join TMI?: for better oppertunity
What are your hobbies?: basketball
What are your strengths?: hardworking
What are your weaknesses?: cannot say No to someone asking for help
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
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