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.Tech. Marine Engineering Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2184404 Name: Jayesh Kiran kapadne
  Address: Flat no. 20 , Vishwanath plaza, mahatma nagar nashik Flat no. 20, Vishwanath plaza, mahatma nagar nashik C/O Kiran kapadne namdeo nager fagane dhule
Telephone No.: Mobile no: 9922409203
E-mail: jayeshkapadne067@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 435540781
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2184404 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.Tech. Marine Engineering Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2184404
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Jayesh Kiran kapadne
Mother's Name: Manisha
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Dec 2002 Nationality: Indian
Place of Birth: Dhule Personal Identification Mark: Black spot on right hand index fingerfin
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 09 Dec 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: Flat no. 20 , Vishwanath plaza, mahatma nagar nashik Flat no. 20, Vishwanath plaza, mahatma nagar nashik C/O Kiran kapadne namdeo nager fagane dhule
State: Maharashtra Country: India
Pin: 422007 City/District: Nashik
Mobile no: 9922409203 Telephone No. with STD code:
Aadhar Card No:717355682526 E-mail: jayeshkapadne067@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Kiran Relationship with candidate: Father
Parents Date of Birth: 01 May 1971 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Flat no. 20 , Vishwanath plaza, mahatma nagar nashik Flat no. 20, Vishwanath plaza, mahatma nagar nashik C/O Kiran kapadne namdeo nager fagane dhule
Country: India State: Maharashtra
City/District: Nashik Pin: 422007
Tel: Mobile no.: 9922409203
Fax: Email: jayeshkapadne067@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Maharashtra Board: Maharashtra
School: Aadarsh madhyamik vidyalaya School: K. T. H. M. College of nashik
City: Nashik City: Nashik
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 86 School/College Code:
  Address of School/College: Shivaji nagar , Gangapur road,
  Centre code:
  Pin: 422002
  Contact Nos: 09922409203
  Email: jayeshkapadne067@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
08/2018 Kho kho School Raider
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Sweeming practice
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I like to handel machinery
Why do you wish to join TMI?: TMI is one of the most reputed college for marine engineers
What are your hobbies?: Sweeming, playing football, badminton, kabaddi
What are your strengths?: I can manage to do number of jobs at a time
What are your weaknesses?: to understand someone is quite difficult
How do you intend to meet the expenses of this program?: Other - By check
 
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

 

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Date ________________

 
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