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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Patil Prathmesh Prakash
Mother's Name: Vaishali
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Oct 2003 Nationality: Indian
Place of Birth: Ichalkaranj Personal Identification Mark: Mole on right shoulder
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 25 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: Trimurti chauk Ingali Taluka Hatakanangle
State: Maharashtra Country: India
Pin: 416202 City/District: kolhapur
Mobile no: 9923992406 Telephone No. with STD code:
Aadhar Card No:538601352965 E-mail: prathmpatil.pp2003@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Prakash Devappa Patil Relationship with candidate: Father
Parents Date of Birth: 25 Sep 1970 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Trimurti Chauk Ingali Taluka Hatakanangle
Country: India State: Maharashtra
City/District: kolhapur Pin: 416202
Tel: Mobile no.: 9850122327
Fax: Email: pp925048@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: Maharashtra Board: Maharashtra
School: MODERN VIDHYANIKETAN ALATE School: ICHALKARANJI HIGHSCHOOL AND JUNIOR COLLEGE ICHALKARANJI
City: ALATE City: ICHALKARANJI
English %: 67 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Address of School/College: ICHALKARANJI TALUKA HATAKANANGLE DISTRICT KOLHAPUR
  Centre code:
  Pin: 416202
  Contact Nos:
  Email: dktestextile@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
12/2017 jump rope state 3rd
08/2018 aatya patya state 1st
11/2018 painting local 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: cycling, swimming , treaking
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: i have interest in marine and also travel to different places
Why do you wish to join TMI?: tmi campus is very good
What are your hobbies?: treaking and swimming
What are your strengths?: i am stron physically as well as mentaly
What are your weaknesses?: i have less knowledge of biology
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet not uploaded Leaving / Transfer Certificate / Birth Certificate not uploaded 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 ________________