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: DEG2184894 Name: Shobika PK
  Address: PB Karumbaiah BLOCK 9, Behind ITI college ,Near Hill view stay
Telephone No.: Mobile no: 9686195198
E-mail: karumbaiahshobika2@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 DEG2184894 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DEG2184894
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shobika PK
Mother's Name: Dechamma TM
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Aug 2003 Nationality: Indian
Place of Birth: Madikeri Personal Identification Mark: Mole on my forehead
Blood Group: B -  
 
Date of Birth (DD/MM/YY): 12 Aug 2003 Nationality: Indian
Gender (M/F): Female 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: PB Karumbaiah BLOCK 9, Behind ITI college ,Near Hill view stay
State: Karnataka Country: India
Pin: 571201 City/District: Madikeri
Mobile no: 9686195198 Telephone No. with STD code:
Aadhar Card No:861176873332 E-mail: karumbaiahshobika2@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DECHAMMA Relationship with candidate: MOTHER
Parents Date of Birth: 13 Jul 1966 Parent's/Guardian's Occupation/Designation: Gov official
   
Office Address:
   
Address: TM Dechamma Zilla panchayat kodagu
Country: India State: Karnataka
City/District: Madikeri Pin: 571210
Tel: Mobile no.: 9900943568
Fax: Email: yashicakarumbaiah@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: St josephs convent School: St aloysius college
City: Madikeri City: Mangalore
English %: 99 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Address of School/College: St aloysius college ,kodailbail Mangalore
  Centre code:
  Pin: 575003
  Contact Nos:
  Email: karumbaiahshobika2@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 ?: Would focus on ART and other related activities
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Nautical sciences is a interesting subjects and im interested to explore more for my better future
Why do you wish to join TMI?: Because TMI is one of the best colleges
What are your hobbies?: ART , Dancing
What are your strengths?: Im confident enough in exploring new things
What are your weaknesses?: Nothing
How do you intend to meet the expenses of this program?: Bank Loan
 
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 ________________

 
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