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: DEG2185108 Name: Pedanekar Sourabh Satappa
  Address: At Post- Ganesh wadi arjuni Tal - kagal dist- Kolhapur At post- more galli yamagrni tal- Nipani Dist- belgum
Telephone No.: Mobile no: 8088908064
E-mail: pedanekarsourabh@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 436528115
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185108 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: DEG2185108
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Pedanekar Sourabh Satappa
Mother's Name: Anita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 02 Sep 2003 Nationality: Indian
Place of Birth: Nipani Personal Identification Mark: no
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 02 Sep 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: At Post- Ganesh wadi arjuni Tal - kagal dist- Kolhapur At post- more galli yamagrni tal- Nipani Dist- belgum
State: Maharashtra Country: India
Pin: 416235 City/District: Kolhapur
Mobile no: 8088908064 Telephone No. with STD code:
Aadhar Card No:877414834884 E-mail: pedanekarsourabh@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: More Pandurang Dadu Relationship with candidate: Nephew
Parents Date of Birth: 01 Apr 1979 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: AT Post- Yamagrni Tal- Nipani Dist- Belguam AT Post- Yamagrni Tal- Nipani Dist- Belguam
Country: India State: Karnataka
City/District: Nipani Pin: 591241
Tel: Mobile no.: 7760733033
Fax: Email: pedanekarsourabh@gmil.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Karnataka Board: Maharashtra
School: Shri G.M.S. High school shripewadi School: Devchand college arjunnagar
City: Nipani City: Nipani
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: Devchand college of arjunnagar
  Centre code:
  Pin: 416235
  Contact Nos: 08338220113
  Email: iqacdevchandcollege@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
07/2018 Yoga District level First Postion
09/2017 Yoga Taluka level First Postion
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
07/2019 Maharashta state certificate in information technology 3 month
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: 30 days
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: yes
Why do you wish to join TMI?: because i am interested Marchant Navy
What are your hobbies?: Cricket, swimming
What are your strengths?: hard work, something learn to new
What are your weaknesses?: no
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 not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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