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.Sc. Nautical Science
Dossier ID: DEG2187551 Name: STEVEN WILLIAM SAMUEL
  Address: B-5 KUMAR HOMES C-3 KUMAR HOMES
Telephone No.: Mobile no: 9011698701
E-mail: stevensamuel942@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 440126905
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187551 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.Sc. Nautical Science Course: Second Choice B.Sc. Nautical Science
Dossier ID: DEG2187551
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: STEVEN WILLIAM SAMUEL
Mother's Name: THANGAMANI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Aug 2003 Nationality: INDIAN
Place of Birth: PUNE Personal Identification Mark: CUT ON THE FOREHEAD
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 07 Aug 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: B-5 KUMAR HOMES C-3 KUMAR HOMES
State: Maharashtra Country: India
Pin: 411048 City/District: PUNE
Mobile no: 9011698701 Telephone No. with STD code:
Aadhar Card No:915253258053 E-mail: stevensamuel942@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: THANGAMANI Relationship with candidate: MOTHER
Parents Date of Birth: 16 Apr 1973 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: 5-GENERAL BHAGAT MARG 5-GENERAL BHAGAT MARG
Country: India State: Maharashtra
City/District: PUNE Pin: 411048
Tel: 9011698701 Mobile no.: 9011698701
Fax: Email: stevensamuel942@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: ISCE Board: Maharashtra
School: THE BISHOPS SCHOOL CAMP School: ST VINCENTS SCHOOL
City: PUNE City: PUNE
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Address of School/College: ST VINCENT STREET PUNE-CAMP
  Centre code:
  Pin: 411001
  Contact Nos:
  Email: stvincentsschool@yahoo.co.in
  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 ?: Using this time to relax from the stressful atmosphere and investing my time in the things that I enjoy doing.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: For better career prospects
Why do you wish to join TMI?: It is one of the best college for maritime studies.
What are your hobbies?: football
What are your strengths?: Flexibility, Honesty and Taking Initiative
What are your weaknesses?: Self critic,Sensitive
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

 

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Date ________________

 
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