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.Tech. Marine Engineering
Dossier ID: DEG2188437 Name: Anish Kumar patel
  Address: Pampapur bahara Pampapur bahara Pampapur bahara
Telephone No.: Mobile no: 9118619929
E-mail: anishalak271@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: 441352232
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188437 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.Tech. Marine Engineering
Dossier ID: DEG2188437
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Anish Kumar patel
Mother's Name: Premlata patel
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Dec 2003 Nationality: Indian
Place of Birth: Pampapur ba Personal Identification Mark: No mark on body
Blood Group: O +  
 
Date of Birth (DD/MM/YY): 29 Dec 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: Pampapur bahara Pampapur bahara Pampapur bahara
State: Uttar Pradesh Country: India
Pin: 221405 City/District: Varanasi
Mobile no: 9118619929 Telephone No. with STD code:
Aadhar Card No:275858492029 E-mail: anishalak271@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mulchand patel Relationship with candidate: Father
Parents Date of Birth: 30 Mar 1973 Parent's/Guardian's Occupation/Designation: Shopkeeper
   
Office Address:
   
Address: Pampapur bahara Pampapur bahara Pampapur bahara
Country: India State: Uttar Pradesh
City/District: Varanasi Pin: 221405
Tel: Mobile no.: 7571896788
Fax: Email: anishalak271@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021 (Appearing for improvement)
Board: CBSE Board: CBSE
School: B.N.S English school School: B.N.S English school
City: Varanasi City: Varanasi
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 87 School/College Code:
  Address of School/College: Kursato chaukhandi varanasi
  Centre code:
  Pin: 221405
  Contact Nos:
  Email: anishalak271@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
12/2018 Science exhibition project Class 9th Second in whole school
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparation of imu set and TMI sat
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Because of its professional life,and clean atmosphere and apportunity to meet with other countries people and also chance to get job is more than other degree
Why do you wish to join TMI?: Because of its placement record and experience faculty and hostel facilities are too good and extra circular activity are well
What are your hobbies?: Listening music and dancing
What are your strengths?: Time management skill are good , ability to handle worsh situation
What are your weaknesses?: Over sensitive with other
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 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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