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: DEG2184248
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHARANAGOUDA BASAVARAJ BAGALI
Mother's Name: JAYASHREE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Jul 2003 Nationality: Indian
Place of Birth: Kalakeri Personal Identification Mark: Scar on right knee
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 21 Jul 2003 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: C/O. B.S.Bagali Near Hanuman mandir Kalakeri Kalakeri
State: Karnataka Country: India
Pin: 586118 City/District: Vijayapura
Mobile no: 9945344020 Telephone No. with STD code:
Aadhar Card No:718467110243 E-mail: shashank5033bagali@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Basavaraj Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1976 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: C/O. B.S.Bagali Near Hanuman mandir Kalakeri Kalakeri
Country: India State: Karnataka
City/District: Vijayapura Pin: 586118
Tel: Mobile no.: 9945344020
Fax: Email: shashank5033bagali@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: SAINIK SCHOOL BIJAPUR School: SAINIK SCHOOL BIJAPUR
City: Vijayapura City: Vijayapura
English %: 83 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: Sainik school campus Athani road Vijayapura
  Centre code:
  Pin: 586102
  Contact Nos: 9945344020
  Email: shashank5033bagali@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2016 Cricket School level First
11/2016 Swimming School level Third
04/2020 Volley ball School level Second
07/2020 Volley ball All India sainik schools south zone sports meet Third
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
05/2016 Combined annual training camp Ncc 10 days
07/2016 Aeromodelling 4 days
04/2019 Army attachment camp secundrabad 10 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I collect information about the college and I prepare myself
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: This is a unique degree and by acquiring it I can become an officer and have an adventurous life further
Why do you wish to join TMI?: Because this prestigious institute has good quality of education, infrastructure and big alumni network
What are your hobbies?: Reading and swimming
What are your strengths?: Taking initiative
What are your weaknesses?: Focusing too much
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 ________________

 
Print Summary and Application Form