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: DEG2186763 Name: V AJAY KRISHNAN
  Address: LEKSHMI NILAYAM /KRISHNALEELA PUTHUKALAVATTOM ROAD ELAMAKKARA PO COCHIN 26
Telephone No.: 9037501659 Mobile no: 9037501659
E-mail: reshmivenugopal22@gmail.com  
   
Application fee payment details:  
Payment Status: Offline 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 DEG2186763 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: DEG2186763
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: V AJAY KRISHNAN
Mother's Name: RESHMI VENUGOPAL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 27 Apr 2003 Nationality: INDIAN
Place of Birth: Ernakulam Personal Identification Mark: BLACK MOLE BEHIND THE NECK
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 27 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: LEKSHMI NILAYAM /KRISHNALEELA PUTHUKALAVATTOM ROAD ELAMAKKARA PO COCHIN 26
State: Kerala Country: India
Pin: 682026 City/District: Ernakulam
Mobile no: 9037501659 Telephone No. with STD code: 9037501659
Aadhar Card No:742422897799 E-mail: reshmivenugopal22@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: R VENUGOPAL Relationship with candidate: FATHER
Parents Date of Birth: 05 Apr 1965 Parent's/Guardian's Occupation/Designation: ADVOCATE
   
Office Address:
   
Address: TCN AND IYER ADVOCATES KOMBARA JN OLD RAILWAY STATION ROAD
Country: India State: Kerala
City/District: Ernakulam Pin: 682018
Tel: 9447052261 Mobile no.: 9447052261
Fax: Email: reshmivenugopal22@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: BHAVANS VIDYA MANDIR School: BHAVANS VIDYA MANDIR
City: Ernakulam City: Ernakulam
English %: 87 Board Roll No./Seat No.:
Aggregate Percentage: 85 School/College Code:
  Address of School/College: ELAMAKKARA,COCHIN 26
  Centre code:
  Pin: 682026
  Contact Nos: 04842408514
  Email: bvm_elmk@yahoo.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 ?: studying for entrance exams and join short term online course
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Its always been my dream to be a Marine Engineer
Why do you wish to join TMI?: As it is one of the top marine engineering college in India
What are your hobbies?: playing football
What are your strengths?: Determination,dedication, enthusiastic, teamwork, always positive
What are your weaknesses?: self sensitive
How do you intend to meet the expenses of this program?: Own Resources,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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