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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Andrew Roshan
Mother's Name: Anne Albert
Gender (M/F): Male Marital Status (Single/Married): Married
Date of Birth (DD/MM/YY): 20 Nov 2000 Nationality: Indian
Place of Birth: chengalpet Personal Identification Mark: scar on the right thigh
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 20 Nov 2000 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Married
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: No f 8 D block Sudhar homes Micetich colony Madhavaram Chennai Tamilnadu
State: Tamil Nadu Country: India
Pin: 600060 City/District: Chennai
Mobile no: 9790959188 Telephone No. with STD code:
Aadhar Card No: E-mail: albert_757@yahoo.co.in
 
Guardian's Particulars:
 
Name of Parent/Guardian: Albert Joseph Relationship with candidate: father
Parents Date of Birth: 08 Nov 1963 Parent's/Guardian's Occupation/Designation: Kline Ship Management India Pvt Ltd
   
Office Address:
   
Address: K line Ship Management India Pvt Ltd No.111 Dev Regency .Dr.Radhakrishnan Salai Mylapore Chennai
Country: India State: Tamil Nadu
City/District: Chennai Pin: 600004
Tel: 04445056374 Mobile no.: 9790959188
Fax: 04445056376 Email: albert_757@yahoo.co.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: Year of Passing:
Board: Board:
School: School:
City: City:
English %: Board Roll No./Seat No.:
Aggregate Percentage: School/College Code:
  Address of School/College:
  Centre code:
  Pin:
  Contact Nos:
  Email:
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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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