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: DEG2185783 Name: GAUTHAM RAJESH
  Address: Karottu House Kallara South PO Kottayam Madhavam House Kallara South PO Kottayam
Telephone No.: Mobile no: 9605464103
E-mail: gauthamrajesh2003@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 437716043
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185783 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.Tech. Marine Engineering Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2185783
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GAUTHAM RAJESH
Mother's Name: SWAPNA MAHADEVAN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Mar 2003 Nationality: INDIAN
Place of Birth: KOTTAYAM Personal Identification Mark: A black spot on the left cheek
Blood Group: A -  
 
Date of Birth (DD/MM/YY): 18 Mar 2003 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : GAUTHAM RAJESH Passport No.: U6360988
Date of Expiry: 22 Dec 2029 Place of Issue: COCHIN
(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: Karottu House Kallara South PO Kottayam Madhavam House Kallara South PO Kottayam
State: Kerala Country: India
Pin: 686611 City/District: Kottayam
Mobile no: 9605464103 Telephone No. with STD code:
Aadhar Card No:939440371747 E-mail: gauthamrajesh2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAJESH SOMAN Relationship with candidate: FATHER
Parents Date of Birth: 09 Nov 1973 Parent's/Guardian's Occupation/Designation: HIGHER SECONDARY SCHOOL TEACHER
   
Office Address:
   
Address: Karottu House Kallara South PO Kottayam Madhavam House Kallara South PO Kottayam
Country: India State: Kerala
City/District: Kottayam Pin: 686611
Tel: 09447284340 Mobile no.: 9497666272
Fax: Email: gauthamrajesh2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Kerala
School: ST THERESE PUBLIC SCHOOL AYAMKUDY School: SMV NSS HSS KALLARA
City: Kottayam City: Kottayam
English %: 95 Board Roll No./Seat No.:
Aggregate Percentage: 97 School/College Code:
  Address of School/College: SMV NSS HSS Kallara South PO Kottayam
  Centre code:
  Pin: 686611
  Contact Nos: 04829269239
  Email: smvnss@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200
Chemistry 200
Mathematics 200
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 ?: I am currrently working hard for cracking JEE exam and attending the classes by my entrance coaching center.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: It is a programme which requires constant hard and proper training and also they are offering a chance to explore more about the sea and ships.
Why do you wish to join TMI?: It is one of the premium institute in India which offers quality education and strict evaluation ,and a lot of job opportunities
What are your hobbies?: Reading ,Cricket ,Movies
What are your strengths?: I used to deal tough situations with a calm attitude which extracts my skills with maximum efficiency.
What are your weaknesses?: I am not good at sports activities
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Your passport 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 ________________

 
Print Summary and Application Form