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: DEG2186972 Name: Sayak Das
  Address: Rampurhat Rampurhat , Birbhum
Telephone No.: Mobile no: 8509018678
E-mail: dassayak2003@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: 439446630
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2186972 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: DEG2186972
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Sayak Das
Mother's Name: Swapna Pailen
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 11 Nov 2003 Nationality: Indian
Place of Birth: Asansol Personal Identification Mark: cut mark on forehead
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 11 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: Rampurhat Rampurhat , Birbhum
State: West Bengal Country: India
Pin: 731224 City/District: Rampurhat
Mobile no: 8509018678 Telephone No. with STD code:
Aadhar Card No:72684414384 E-mail: dassayak2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Swapna Pailen Relationship with candidate: Mother
Parents Date of Birth: 10 Jan 1966 Parent's/Guardian's Occupation/Designation: School teacher
   
Office Address:
   
Address: Rampurhat Rampurhat , Birbhum
Country: India State: West Bengal
City/District: Rampurhat Pin: 731224
Tel: Mobile no.: 9002695458
Fax: Email: dassayak2003@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: West Bengal Board: West Bengal
School: Rampurhat J.L.Vidyabhaban School: Rampurhat J.L.Vidyabhaban
City: Rampurhat City: Rampurhat
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 76 School/College Code:
  Address of School/College: Rampurhat Rampurhat , Birbhum
  Centre code:
  Pin: 731224
  Contact Nos: 09002695458
  Email: dassayak2003@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will prepare for IMUCET as well as for TMISAT
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I always wanted to work in merchant navy and this degree will help me to get there
Why do you wish to join TMI?: This is one of the best college and one of my elder brother pass out from tolani
What are your hobbies?: drawing , cricket
What are your strengths?: I can get familiar with everyone
What are your weaknesses?: I feel a little shy around new people
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

 

___________________

Date ________________

 
Print Summary and Application Form