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: DEG2187671
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MAILIPILLI OMKAR
Mother's Name: SWATI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Aug 2003 Nationality: INDIAN
Place of Birth: KOMARAVANIP Personal Identification Mark: A MOLE ON LEFT HAND
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 20 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: KOMARAVANIPETA - KORLAM- GARA - SRIKAKULAM-ANDHRA PRADESH KOMARAVANIPETA - KORLAM- GARA - SRIKAKULAM-ANDHRA PRADESH KOMARAVANIPETA - KORLAM- GARA - SRIKAKULAM-ANDHRA PRADESH
State: Andhra Pradesh Country: India
Pin: 532405 City/District: SRIKAKULAM
Mobile no: 7660874718 Telephone No. with STD code:
Aadhar Card No:434021412176 E-mail: m.omkar0304@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MAILIPILLI JAGGUPILLA Relationship with candidate: FATHER
Parents Date of Birth: 03 Aug 1974 Parent's/Guardian's Occupation/Designation: MERCHANT NAVY
   
Office Address:
   
Address: SCORPIO MARINE MANAGEMENT INDIA PVT.LTD - MUMBAI SCORPIO MARINE MANAGEMENT INDIA PVT.LTD - MUMBAI SCORPIO MARINE MANAGEMENT INDIA PVT.LTD - MUMBAI
Country: India State: Andhra Pradesh
City/District: SRIKAKULAM Pin: 532405
Tel: Mobile no.: 8497910874
Fax: Email: m.jaggupilla.j@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Andhra Pradesh Board: Andhra Pradesh
School: SRI CHAITANYA TECNO SCHOOL School: SRI CHAITANYA JUNIOR COLLEGE
City: SRIKAKULAM City: SRIKAKULAM
English %: 100 Board Roll No./Seat No.:
Aggregate Percentage: 97 School/College Code:
  Address of School/College: SRI CHAITANYA JUNIOR COLLEGE-BANKERS COLONY SRIKAKULAM
  Centre code:
  Pin: 532001
  Contact Nos: 09177311522
  Email: m.omkar0304@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150
Chemistry 150
Mathematics 300
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
01/2021 TEAKWONDO DISTRICT LEVEL GOLD MEDAL IN SENIOR MALE
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: VERY GOOD
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: For career
Why do you wish to join TMI?: BEST COLLEGE
What are your hobbies?: SPORTS
What are your strengths?: FAMILY
What are your weaknesses?: FAMILY
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 ________________