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.Tech. Marine Engineering
Dossier ID: DEG2188023 Name: SIDDHARTH SANDIP GHODE
  Address: IPC PRAYER HALL,YASHWANT COLONY ,DAREWADI, AHMEDNAGAR,
Telephone No.: Mobile no: 9307899172
E-mail: siddharthghode59910@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441315133
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188023 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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.Tech. Marine Engineering
Dossier ID: DEG2188023
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SIDDHARTH SANDIP GHODE
Mother's Name: ASHA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Jul 2003 Nationality: INDIAN
Place of Birth: AHMEDNAGAR Personal Identification Mark: CUT ON HEAD
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 19 Jul 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: IPC PRAYER HALL,YASHWANT COLONY ,DAREWADI, AHMEDNAGAR,
State: Maharashtra Country: India
Pin: 414001 City/District: AHMEDNAGAR
Mobile no: 9307899172 Telephone No. with STD code:
Aadhar Card No:821383552910 E-mail: siddharthghode59910@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANDIP GHODE Relationship with candidate: SON
Parents Date of Birth: 01 Oct 1981 Parent's/Guardian's Occupation/Designation: ARMY
   
Office Address:
   
Address: ahmednagar darewadi yashwant colony
Country: India State: Maharashtra
City/District: ahmednagar Pin: 414001
Tel: Mobile no.: 9322379606
Fax: Email: siddharthghode59910@gmail.om
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: ARMY PUBLIC SCHOOL School: AHMEDNAGAR COLLEGE
City: GUWAHATI City: AHMEDNAGAR
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Address of School/College: BHPE SO.OF AHMEDNAGAR COLLEGE,STATION ROAD
  Centre code:
  Pin: 414001
  Contact Nos:
  Email: siddharthghode59910@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Not completed studying for mht cet
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Better chance for bright future
Why do you wish to join TMI?: Excellant in every thing
What are your hobbies?: Sports, gaming
What are your strengths?: Adaption, friendly,
What are your weaknesses?: Get easily distracted
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 Class XII marksheet not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form