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.Sc. Nautical Science Course Enrolled (Second Choice): B.Tech. Marine Engineering
Dossier ID: DEG2186491 Name: Rodrigues Keneeth Pramod
  Address: Jhona Villa Christan Ali , Sopara Road Bolinj , Virar
Telephone No.: Mobile no: 9373486449
E-mail: keneethrodz6@gmail.com  
   
Application fee payment details:  
Payment Status: offline payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186491 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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2186491
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Rodrigues Keneeth Pramod
Mother's Name: Carol Pramod Rodrigues
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Oct 2003 Nationality: Indian
Place of Birth: virar Personal Identification Mark: black spot on left chin
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 06 Oct 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: Jhona Villa Christan Ali , Sopara Road Bolinj , Virar
State: Maharashtra Country: India
Pin: 401303 City/District: Palghar
Mobile no: 9373486449 Telephone No. with STD code:
Aadhar Card No:752134488585 E-mail: keneethrodz6@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Pramod Bavtis Rodrigues Relationship with candidate: Father
Parents Date of Birth: 17 Dec 1973 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: Jhona Villa Christan Ali , Sopara Road Bolinj , Virar
Country: India State: Maharashtra
City/District: Palghar Pin: 401303
Tel: Mobile no.: 9370949839
Fax: Email: keneethrodz6@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Carmel Convent School School: R.P. Junior College
City: virar City: Vasai
English %: 57 Board Roll No./Seat No.: M031471
Aggregate Percentage: 75 School/College Code: 1808080
  Address of School/College: Taluka - Vasai Dist.Palghar-401202
  Centre code: 2306
  Pin: 401202
  Contact Nos:
  Email: rpes.vasai@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2018 Doogeball Inter School Second
02/2017 carrom Inter school Frist
02/2017 Shotput Inter school Third
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Exercise , learning some new skills about computer and their functions
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Joining merchant navy was a childhood dream ,as I have seen a lot of people in my contacts have made life better through this stream and lastly my love for sea and exploring new places will be accomplish through merchant navy
Why do you wish to join TMI?: As TMI is the best institute in moulding students and I belive that best comes from best.
What are your hobbies?: Travelling , Playing outdoor games , swimming
What are your strengths?: Hardwork and I do not get easily upset.
What are your weaknesses?: Shy to perform on stage
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 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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