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.Tech. Marine Engineering
Dossier ID:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SUBHABRATA PANDA
Mother's Name: SURYAPRAVA PANDA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Oct 2003 Nationality: INDIAN
Place of Birth: ODISHA Personal Identification Mark: white mole on right side of belly
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 02 Oct 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: QR. NO.-D/30,DVC COLONY,CTPS AT/POST- CHANDRAPURA DIST-BOKARO
State: Jharkhand Country: India
Pin: 828403 City/District: BOKARO
Mobile no: 8927937406 Telephone No. with STD code: 08927937406
Aadhar Card No:264246962800 E-mail: satya.pandactps123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SATYABRATA PANDA Relationship with candidate: FATHER
Parents Date of Birth: 04 Jun 1969 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: CHEMICAL LABORATORY, DAMODAR VALLEY CORPORATION,CTPS AT/POST-CHANDRAPURA DIST-BOKARO
Country: India State: Jharkhand
City/District: BOKARO Pin: 828403
Tel: 8927937406 Mobile no.: 8927937406
Fax: Email: satya.pandactps123@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: CBSE
School: DENOBILI SCHOOL School: KENDRIYA VIDYALAYA
City: BOKARO City: CHANDRAPURA
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 79 School/College Code:
  Address of School/College: KENDRIYA VIDYALAYA, CHANDRAPURA
  Centre code:
  Pin: 828403
  Contact Nos: 06549242259
  Email: kvchandrapura@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 ?: Due to COVID-19,now at home only.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: it is a good college.
What are your hobbies?: computer programming.
What are your strengths?: my family is my strength.
What are your weaknesses?: failure
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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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