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: DEG2184365 Name: Satyam singh
  Address: Latthudih, ghazipur Latthudih ,ghazipur Latthudih ,ghazipur
Telephone No.: Mobile no: 9554033605
E-mail: www.bindassladka007@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2184365 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: DEG2184365
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Satyam singh
Mother's Name: Bindu singh
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Aug 2003 Nationality: Indian
Place of Birth: Latthudih Personal Identification Mark: Spot on face
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 12 Aug 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: Latthudih, ghazipur Latthudih ,ghazipur Latthudih ,ghazipur
State: Uttar Pradesh Country: India
Pin: 233225 City/District: Ghazipur
Mobile no: 9554033605 Telephone No. with STD code:
Aadhar Card No:589410587745 E-mail: www.bindassladka007@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay singh Relationship with candidate: Father
Parents Date of Birth: 01 Jan 1970 Parent's/Guardian's Occupation/Designation: Cultivation
   
Office Address:
   
Address: Lathudih,ghazipur Latthudih ,ghazipur Latthudih ,ghazipur
Country: India State: Uttar Pradesh
City/District: Ghazipur Pin: 233225
Tel: Mobile no.: 9161610070
Fax: Email: sanjaykklpr31@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Sunbeam school School: B.S.Y. SHIKSHAN SANSTHAN
City: Ghazipur City: Ghazipur
English %: 90 Board Roll No./Seat No.: 23630988
Aggregate Percentage: 80 School/College Code: 54021
  Address of School/College: TULASIPUR, GHAZIPUR
  Centre code: 7094
  Pin: 233307
  Contact Nos: 8004371530
  Email: .bsyss@rediffmail.com
  Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 80 80
Mathematics 100 62 62
Physics, Chemistry & Mathematics combined Percentage: 75
English 100 77 77
   
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
02/2017 Handball School Runnerup
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Selecting my collages and preparing for them
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because I love the sea and love to explore new places.
Why do you wish to join TMI?: It is one of the best collages in India.
What are your hobbies?: Photography,
What are your strengths?: My thinking ability
What are your weaknesses?: Focus one work at a time.
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 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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