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: DEG2186747 Name: Madathingal Blaze Dharman
  Address: YAMUNA 2B/108 CENTRAL PARK NALLSAOPARA EAST NALLASOPRA EAST
Telephone No.: 02502431339 Mobile no: 7841061327
E-mail: blazejoy1010@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 439271136
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186747 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.Sc. Nautical Science Course: Second Choice B.Tech. Marine Engineering
Dossier ID: DEG2186747
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Madathingal Blaze Dharman
Mother's Name: Mercy Dharman
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Nov 2003 Nationality: Indian
Place of Birth: NALLASOPARA Personal Identification Mark: Mole on right hand
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 05 Nov 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: YAMUNA 2B/108 CENTRAL PARK NALLSAOPARA EAST NALLASOPRA EAST
State: Maharashtra Country: India
Pin: 401209 City/District: NALLASOPARA
Mobile no: 7841061327 Telephone No. with STD code: 02502431339
Aadhar Card No:412872418877 E-mail: blazejoy1010@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mercy Dharman Relationship with candidate: Mother
Parents Date of Birth: 02 Apr 1966 Parent's/Guardian's Occupation/Designation: Housewife
   
Office Address:
   
Address: YAMUNA 2B/108 CENTRAL PARK NALLASOPRA EAST
Country: India State: Maharashtra
City/District: Palghar dist Pin: 401209
Tel: 0250 Mobile no.: 9623533944
Fax: Email: blessy32000@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Holy Family Convent High school School: Lokmanya junior college
City: Mumbai City: NALLASOPARA
English %: 56 Board Roll No./Seat No.: M034699
Aggregate Percentage: 56 School/College Code: 1808032
  Address of School/College: Vijay nagar Nallasopara east
  Centre code: 2381
  Pin: 401209
  Contact Nos: 02502431339
  Email: blazejoy1010@gmail.com
  Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 69 69
Chemistry 100 72 72
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 68
English 100 65 65
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I had spend quality time with my family discussing about my future plan and about the admission process
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I was eager to work in ship thats why i chose nautical science
Why do you wish to join TMI?: I would wish to join TMI as its one of the well known marine academy and offers good job prospects
What are your hobbies?: Playing football,listening to music,cooking
What are your strengths?: I maintain good relation with everyone and try my best to acheive my goal
What are your weaknesses?: I am an introvert and dont get along with everyone
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
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form