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.Tech. Marine Engineering
Dossier ID: DEG2185999 Name: Suman Mahapatra
  Address: Vii-chhotoudaypur. post-Argoal Native village Pw road
Telephone No.: Mobile no: 7363073048
E-mail: sumanmahapatra736@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 438486906
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2185999 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.Tech. Marine Engineering
Dossier ID: DEG2185999
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Suman Mahapatra
Mother's Name: Soma mahapatra
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Dec 2003 Nationality: Hindu
Place of Birth: Chhotoudayp Personal Identification Mark: No
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 01 Dec 2003 Nationality: Hindu
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : Apply 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: Vii-chhotoudaypur. post-Argoal Native village Pw road
State: West Bengal Country: India
Pin: 721456 City/District: Purbamedinipur
Mobile no: 7363073048 Telephone No. with STD code:
Aadhar Card No:229269471236 E-mail: sumanmahapatra736@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Barun mahapatra Relationship with candidate: Father
Parents Date of Birth: 30 Nov 1976 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Vii-argoal .post-argoal Native village
Country: India State: West Bengal
City/District: Purba medinipur Pin: 721456
Tel: Mobile no.: 7363073048
Fax: Email: sumanmahapatra736@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: West Bengal Board: West Bengal
School: Dumardari M.H. Vidyamandir School: Dumardari MH vidyamandir
City: Egra City: Egra
English %: 56 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Address of School/College: Dumardari Purbamedinipur
  Centre code:
  Pin: 721425
  Contact Nos:
  Email: sumanmahapatra736@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Study life
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes.it is a very good option for me.
Why do you wish to join TMI?: For a bright feture
What are your hobbies?: Drawing
What are your strengths?: Never give up...Try my best
What are your weaknesses?: Math
How do you intend to meet the expenses of this program?: Bank Loan
 
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

 

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Date ________________

 
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