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: DEG2186009 Name: Varun C
  Address: No. 6 A P street, S P road, thigalarpet Bangalore No. 6 A P street, S P road, thigalarpet Bangalore
Telephone No.: 0808296654885 Mobile no: 8296654885
E-mail: varun10njr@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 438019356
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186009 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: DEG2186009
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Varun C
Mother's Name: Savitha S
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Jun 2002 Nationality: Indian
Place of Birth: Bangalore Personal Identification Mark: A light scar on face
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 10 Jun 2002 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: No. 6 A P street, S P road, thigalarpet Bangalore No. 6 A P street, S P road, thigalarpet Bangalore
State: Karnataka Country: India
Pin: 560002 City/District: Bangalore
Mobile no: 8296654885 Telephone No. with STD code: 0808296654885
Aadhar Card No:605943548932 E-mail: varun10njr@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Chandra S Relationship with candidate: Father
Parents Date of Birth: 16 Jun 1982 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: City market City market
Country: India State: Karnataka
City/District: Bangalore Pin: 560002
Tel: Mobile no.: 8147333424
Fax: Email: chinnichandra86@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: ISCE Board: ISCE
School: Karaumbiahs academy for learning and sports School: Karaumbiahs academy for learning and sports
City: Madikeri City: Madikeei
English %: 73 Board Roll No./Seat No.: 6724461
Aggregate Percentage: 71 School/College Code: 571213
  Address of School/College: no.23, Virajpet-Mysore Rd, next to Planters Club, Gonikopalu, Karnataka
  Centre code: 571201
  Pin: 571213
  Contact Nos:
  Email: kals.school@yahoo.in
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 57 0
Chemistry 57 0
Mathematics 50 0
Physics, Chemistry & Mathematics combined Percentage: 0
English 73 0
   
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
07/2017 Hockey State Midfielder
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Career guidance
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I think it is one of the best option for a person who is looking forward to sail the world
Why do you wish to join TMI?: To reach my dream faster
What are your hobbies?: Reading books and playing football
What are your strengths?: Speaking
What are your weaknesses?: Do not know
How do you intend to meet the expenses of this program?: Bank Loan
 
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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