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.Tech. Marine Engineering
Dossier ID: DEG2184549 Name: Samrudh
  Address: Samrudh Nilaya, 1st cross , near gandhi park Gandhi nagar Chikkamagalur 577101
Telephone No.: 09606324995 Mobile no: 7892938664
E-mail: swapnakasthuri8@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 435717108
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2184549 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.Tech. Marine Engineering
Dossier ID: DEG2184549
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Samrudh
Mother's Name: Swapna
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Dec 2002 Nationality: Indian
Place of Birth: Chikmagalur Personal Identification Mark: none
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 10 Dec 2002 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Samrudh Passport No.: U9568297
Date of Expiry: 14 Mar 2031 Place of Issue: BENGALURU
(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: Samrudh Nilaya, 1st cross , near gandhi park Gandhi nagar Chikkamagalur 577101
State: Karnataka Country: India
Pin: 577101 City/District: Chikmagalur
Mobile no: 7892938664 Telephone No. with STD code: 09606324995
Aadhar Card No:237744143858 E-mail: swapnakasthuri8@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Swapna Relationship with candidate: Mother
Parents Date of Birth: 15 Jul 1979 Parent's/Guardian's Occupation/Designation: Pg Owner
   
Office Address:
   
Address: Samrudh Nilaya, 1st cross , near gandhi park Gandhi nagar Chikkamagalur 577101
Country: India State: Karnataka
City/District: Chikmagalur Pin: 577101
Tel: 07892938664 Mobile no.: 7892938664
Fax: Email: samrudh444@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: ISCE Board: Karnataka
School: St Marys School: St marys
City: Chikmagalur City: chikkamagalur
English %: 64 Board Roll No./Seat No.: 977492
Aggregate Percentage: 77 School/College Code: HH098
  Address of School/College: KM Road,chikkamagalur
  Centre code: XC3115
  Pin: 577101
  Contact Nos:
  Email: stmaryspukm@gmail.com
  Aggregate Percentage: 88
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 88 88
Chemistry 100 78 78
Mathematics 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 83.33
English 100 98 98
   
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 Volleyball state runners
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Ive completed my 12th from the 2020 batch, and in the mean time i have taken technical classes for cpl
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Ive always wanted to join the maratime sector, and having a degree will help me in further days
Why do you wish to join TMI?: As TMI is very good at education, getting a degree from this college will help me a lot, and can help me know my full potential
What are your hobbies?: I Play Cricket,volleyball and also do aurdino,coding etc with ref
What are your strengths?: leadership
What are your weaknesses?: failure,public speaking
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport 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

 

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Date ________________

 
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