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:
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SHIVAM KUMAR PATHAK
Mother's Name: RIMA PATHAK
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 May 2002 Nationality: INDIAN
Place of Birth: MUZAFFARPUR Personal Identification Mark: CUT MARK IN RIGHT ANCLE
Blood Group: AB +  
 
Date of Birth (DD/MM/YY): 20 May 2002 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Full Name (as per Passport) : SHIVAM KUMAR PATHAK Passport No.: U8529518
Date of Expiry: 07 Mar 2031 Place of Issue: PATNA
(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: BADHAITOLA MARIPUR
State: Bihar Country: India
Pin: 842001 City/District: MUZAFFARPUR
Mobile no: 7654032648 Telephone No. with STD code:
Aadhar Card No:947833476614 E-mail: shivampathak2105@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAVI SHANKAR PATHAK Relationship with candidate: FATHER
Parents Date of Birth: 15 Jun 1976 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: BADHAITOLA MARIPUR
Country: India State: Bihar
City/District: MUZAFFARPUR Pin: 842001
Tel: Mobile no.: 9801860313
Fax: Email: RAVIPATHAK101@GMAIL.COM
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: DAV PUBLIC SCHOOL School: ST XAVIERS SCHOOL
City: MUZAFFARPUR City: MUZAFFARPUR
English %: 70 Board Roll No./Seat No.: 22635090
Aggregate Percentage: 67 School/College Code: 65059
  Address of School/College: RAMNA MUZAFFARPUR BIHAR
  Centre code: 6623
  Pin: 842002
  Contact Nos:
  Email: AMODKUMARDUTTA@GMAIL.COM
  Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 69 69
Chemistry 100 75 75
Mathematics 100 52 52
Physics, Chemistry & Mathematics combined Percentage: 65.33
English 100 90 90
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?:
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?:
Why do you wish to join TMI?:
What are your hobbies?:
What are your strengths?:
What are your weaknesses?:
How do you intend to meet the expenses of this program?: 
 
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

 

___________________

Date ________________

 
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