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: DEG2188509 Name: Abhay Chanda
  Address: Collegepara, Raiganj, U/D Collegepara, Raiganj,U/D,Near Raiganj University
Telephone No.: 09932529599 Mobile no: 9932529599
E-mail: chandashibani2015@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: 441280156
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188509 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: DEG2188509
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Abhay Chanda
Mother's Name: Shibani Chanda
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Apr 2003 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: Blue spot in left fist
Blood Group: A +  
 
Date of Birth (DD/MM/YY): 23 Apr 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: Collegepara, Raiganj, U/D Collegepara, Raiganj,U/D,Near Raiganj University
State: West Bengal Country: India
Pin: 733134 City/District: Raiganj
Mobile no: 9932529599 Telephone No. with STD code: 09932529599
Aadhar Card No:721523165634 E-mail: chandashibani2015@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Shibani Chanda Relationship with candidate: Mother
Parents Date of Birth: 22 Feb 1982 Parent's/Guardian's Occupation/Designation: House Wife
   
Office Address:
   
Address: Collegepara, Raiganj, U/D Collegepara, Raiganj,U/D, Near Raiganj University
Country: India State: West Bengal
City/District: Raiganj Pin: 733134
Tel: 09932529599 Mobile no.: 7319306518
Fax: Email: chandashibani2015@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Sarada Vidya Mandir School: Sarada Vidya Mandir
City: Raiganj City: Raiganj
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 93 School/College Code:
  Address of School/College: Sudarshanpur, Raiganj, U/D
  Centre code:
  Pin: 733134
  Contact Nos: 09932529599
  Email: chandashibani2015@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 ?: I will study untill my Jee Advanced exam.
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: I love science. And I always wanted to be an engineer. And my father is also a seafarer.
Why do you wish to join TMI?: TMI has best placement records among other institutions.
What are your hobbies?: Swimming and Cycling
What are your strengths?: I love to learn new things and I never give up.
What are your weaknesses?: I may be a bit lazy.
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

 

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Date ________________

 
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