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.Sc. Nautical Science
Dossier ID: DEG2184929
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Test Student One
Mother's Name: Mother
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Sep 2000 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: None
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 08 Sep 2000 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Test Stduent Passport No.: Z1234567
Date of Expiry: 29 Jun 2029 Place of Issue: Pune
(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: C-205 KPCT, Vitthal Rao Shivarkar Road, Fatima Nagar, Wanowrie
State: Maharashtra Country: India
Pin: 411040 City/District: Pune
Mobile no: 9823031907 Telephone No. with STD code: 9823031907
Aadhar Card No:985478549632 E-mail: vikram@calpaq.in
 
Guardian's Particulars:
 
Name of Parent/Guardian: Father Relationship with candidate: Father
Parents Date of Birth: 20 Jun 1950 Parent's/Guardian's Occupation/Designation: Retired
   
Office Address:
   
Address: C-205 KPCT, Vitthal Rao Shivarkar Road, Fatima Nagar, Wanowrie
Country: India State: Maharashtra
City/District: Pune Pin: 411040
Tel: 9823031907 Mobile no.: 5156785633
Fax: Email: vikram@calpaq.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Andhra Pradesh Board: Bihar
School: Test School: Test2
City: Pune City: Pune
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 95 School/College Code:
  Address of School/College: Test 2 address
  Centre code:
  Pin: 830309
  Contact Nos:
  Email: test@testing.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: 6985645789  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
06/2021 sport high low
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2021 anything 6 days
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: hsg
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: sgfg
Why do you wish to join TMI?: gssdfgb
What are your hobbies?: sdgg
What are your strengths?: sgsd
What are your weaknesses?: sdgsd
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 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 ________________