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.Sc. Nautical Science
Dossier ID: DEG2185274 Name: NIHAL PAUL DSOUZA
  Address: Prem deep opposite bairady tank, padil mangalore ,karnataka Buntshostel,Tigris flat Melinamogaru near marina sports ,attavar,mangalore,
Telephone No.: Mobile no: 9741162085
E-mail: dsouzaneil744@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 436994600
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185274 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.Sc. Nautical Science
Dossier ID: DEG2185274
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NIHAL PAUL DSOUZA
Mother's Name: JANET CYNTHIA DSOUZA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jun 2003 Nationality: INDIA
Place of Birth: Mangalore Personal Identification Mark: Black mark below the ear
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 07 Jun 2003 Nationality: INDIA
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : NIHAL PAUL DSOUZA Passport No.: U2939823
Date of Expiry: 25 Oct 2030 Place of Issue: Mangalore
(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: Prem deep opposite bairady tank, padil mangalore ,karnataka Buntshostel,Tigris flat Melinamogaru near marina sports ,attavar,mangalore,
State: Karnataka Country: India
Pin: 575007 City/District: Dakshina kannada
Mobile no: 9741162085 Telephone No. with STD code:
Aadhar Card No:582715583535 E-mail: dsouzaneil744@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: prasad jeethan dsouza Relationship with candidate: Father
Parents Date of Birth: 01 Mar 1974 Parent's/Guardian's Occupation/Designation: NRI
   
Office Address:
   
Address: Prem deep opposite bairady tank, padil mangalore ,karnataka Buntshostel,Tigris flat Melinamogaru near marina sports ,attavar,mangalore,
Country: India State: Karnataka
City/District: Dakshina kannada Pin: 575007
Tel: Mobile no.: 9741162085
Fax: 0824 Email: dsouzaneil744@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Karnataka Board: Karnataka
School: St.josephs English medium school School: St aloysius College
City: Mangalore City: Mangalore
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: Light house ,kodialbail
  Centre code:
  Pin: 575003
  Contact Nos: 08242449717
  Email: info@staloysius.in
  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 ?: Reading books
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is a really good course
Why do you wish to join TMI?: It is one the good collages
What are your hobbies?: Listening to music
What are your strengths?: Confident
What are your weaknesses?: Height
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

 

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Date ________________

 
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