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.Sc. Nautical Science
Dossier ID: DEG2187682 Name: Dishanth M
  Address: Annapurneswari Nagar 2nd stage ,3rd cross Mandya
Telephone No.: Mobile no: 9141806392
E-mail: dishanth.m08@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: 440490616
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2187682 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.Sc. Nautical Science
Dossier ID: DEG2187682
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dishanth M
Mother's Name: Latha M K
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Jun 2003 Nationality: Indian
Place of Birth: Mandya Personal Identification Mark: A scar on left hand tumb
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 20 Jun 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: Annapurneswari Nagar 2nd stage ,3rd cross Mandya
State: Karnataka Country: India
Pin: 571401 City/District: Gghh
Mobile no: 9141806392 Telephone No. with STD code:
Aadhar Card No:817409545988 E-mail: dishanth.m08@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Manjunath M S Relationship with candidate: Father
Parents Date of Birth: 05 Jan 1974 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Thavaregere ,5th cross Mandya
Country: India State: Karnataka
City/District: Mandya Pin: 571401
Tel: Mobile no.: 9019116191
Fax: Email: mklatha76@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: 22nd Century high school School: Excellent P U College
City: Mandya City: Dakshina Kannada
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Address of School/College: Kallabetu,Moodbidri
  Centre code:
  Pin: 574227
  Contact Nos: 9900099652
  Email: excellentpucollege@gmail.com
  Aggregate Percentage: 93
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 95 95
Chemistry 100 98 98
Mathematics 100 99 99
Physics, Chemistry & Mathematics combined Percentage: 97.33
English 100 93 93
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By learning new things
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because it has future
Why do you wish to join TMI?: Because it is my aim to become mariner
What are your hobbies?: Playing games
What are your strengths?: Confidence , Clam
What are your weaknesses?: Angry
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Your passport not uploaded Class X marksheet Leaving / Transfer Certificate / Birth Certificate Class XII admit card not uploaded Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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