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: DEG2186769 Name: RaulRobert Dcosta
  Address: BLDG No. 145, R.N. 5327, CGS QTRS, SECTOR 7, ANTOPHILL SM PLOT, ANTOPHILL MUMBAI
Telephone No.: Mobile no: 9967416947
E-mail: rauldcosta.rd@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 439172897
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186769 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: DEG2186769
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RaulRobert Dcosta
Mother's Name: Wilma
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Dec 2003 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Scars on both shoulders
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 24 Dec 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: BLDG No. 145, R.N. 5327, CGS QTRS, SECTOR 7, ANTOPHILL SM PLOT, ANTOPHILL MUMBAI
State: Maharashtra Country: India
Pin: 400037 City/District: Mumbai
Mobile no: 9967416947 Telephone No. with STD code:
Aadhar Card No:564041928409 E-mail: rauldcosta.rd@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Robert Dcosta Relationship with candidate: Father
Parents Date of Birth: 19 Sep 1969 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Material Organisation, Naval Store Depot, Ghatkopar West Mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 400086
Tel: Mobile no.: 9167825943
Fax: Email: robertdcosta99@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Don Bosco High School Matunga School: Rao Junior College of Science
City: Mumbai City: Mumbai
English %: 72 Board Roll No./Seat No.: M052129
Aggregate Percentage: 78 School/College Code: 3104035
  Address of School/College: A/1, plot 13A/13B, New Sion Chs, Near Gurukripa Hotel Road no. 24, Sindhi, colony, Sion West, Mumbai.
  Centre code: 3254
  Pin: 400022
  Contact Nos:
  Email: rao.juniorcollege.sion@gmail.com
  Aggregate Percentage: 94
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 93 93
Chemistry 100 93 93
Mathematics 100 93 93
Physics, Chemistry & Mathematics combined Percentage: 93
English 100 91 91
   
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
06/2019 Football MDFA NULL
10/2020 Football Private and local NULL
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Going for a short vacation, preparing for various entrance exams and JEE and also spending time to develop more on my skills and gameplay in football.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: As I belong to a village bordered by the sea --Goa, I want to explore the sea more and the challenges it offers. I also possess interest in working with machinery.
Why do you wish to join TMI?: I have gone through the prospectus through various sources that TMI is a premier institute with top faculties for marine engineering offering good placements.
What are your hobbies?: Football, reading and listening music
What are your strengths?: Good physical fitness, good understanding of maths and science, hardwork and dedication. Self centered.
What are your weaknesses?: Short tempered, too caring and forgiving.
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 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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