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: DEG2186323 Name: SHUBHAM RAIJADHAV
  Address: ULLAGADDIWADI EXAMBA
Telephone No.: Mobile no: 9986072001
E-mail: raijadhavshubham@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: 438460789
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186323 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: DEG2186323
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHUBHAM RAIJADHAV
Mother's Name: ARUNA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Apr 2003 Nationality: INDIAN
Place of Birth: NIPPANI Personal Identification Mark: MOLE ON LEFT SIDE HEAD
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 08 Apr 2003 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: ULLAGADDIWADI EXAMBA
State: Karnataka Country: India
Pin: 591244 City/District: BELGAUM
Mobile no: 9986072001 Telephone No. with STD code:
Aadhar Card No:501465338846 E-mail: raijadhavshubham@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SHASHIKANT Relationship with candidate: FATHER
Parents Date of Birth: 30 Jul 1971 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: ULLAGADDIWADI EXAMBA
Country: India State: Karnataka
City/District: BELGAUM Pin: 591244
Tel: Mobile no.: 8722002929
Fax: Email: shubhamshubham1305@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: SHIVASHANKAR JOLLE ENG MID PUBLIC SCHOOL BELGAUM KK School: SANJAY GHODAWAT JUNIOR COLLEGE ATIGRE
City: BELGAUM City: SANGLI
English %: 83 Board Roll No./Seat No.: X044445
Aggregate Percentage: 71 School/College Code: J2306044
  Address of School/College: SANGLI KOLHAPUR HIGHWAY, ATIGRE
  Centre code: 055
  Pin: 416118
  Contact Nos: 02302463756
  Email: principal@sgijc.in
  Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 86 86
Mathematics 100 90 90
Physics, Chemistry & Mathematics combined Percentage: 86.33
English 100 81 81
   
IMU CET Application Number: CET21U1005404  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would like to spend my time on my fitness and prepare for MHCET
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: This is an innovative field we get to learn many new things and get a chance to explore the world
Why do you wish to join TMI?: I wish to join tmi because of its world class faculty and best campus i have ever known this atmosphere would really help me to develop my academics as well as my physic
What are your hobbies?: swimming / reading
What are your strengths?: Im good athleat and takewando player
What are your weaknesses?: I have no weakness
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
 
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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