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.Sc. Nautical Science
Dossier ID: DEG2188511 Name: Niranjan Singh
  Address: House number - 203 Rajendra Nagar, Digari
Telephone No.: Mobile no: 7568809589
E-mail: niranjanrathore924@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 441547352
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DEG2188511 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.Sc. Nautical Science
Dossier ID: DEG2188511
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Niranjan Singh
Mother's Name: Shiv Kanwar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 May 2004 Nationality: India
Place of Birth: Jodhpur Personal Identification Mark: Birthmark at right hand arm
Blood Group: B +  
 
Date of Birth (DD/MM/YY): 26 May 2004 Nationality: India
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: House number - 203 Rajendra Nagar, Digari
State: Rajasthan Country: India
Pin: 342001 City/District: Jodhpur
Mobile no: 7568809589 Telephone No. with STD code:
Aadhar Card No:754708707686 E-mail: niranjanrathore924@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Gajendra Singh Rathore Relationship with candidate: Father
Parents Date of Birth: 26 Nov 1973 Parent's/Guardian's Occupation/Designation: Buniness man
   
Office Address:
   
Address: House number - 203 Rajendra Nagar, Digari
Country: India State: Rajasthan
City/District: Jodhpur Pin: 342001
Tel: Mobile no.: 9799191822
Fax: Email: niranjanrathore924@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Central academy cantt School: Central Academy cantt
City: Jodhpur City: Jodhpur
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 65 School/College Code:
  Address of School/College: Opposite Jodhpur Cantt Railway Station Near Nagur Road By Pas Banar Road, Jodhpur, Rajasthan ¬†
  Centre code:
  Pin: 342027
  Contact Nos:
  Email: fojc@cnetralacademy.ac.in
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Sports,Movies,webseries
Why do you think your degree in Marine Engeneering/Nautical Science is good option for you?: Yes
Why do you wish to join TMI?: Good College
What are your hobbies?: Online games , sports, movies
What are your strengths?: Will power
What are your weaknesses?: Laze
How do you intend to meet the expenses of this program?: Own Resources
 
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 ________________

 
Print Summary and Application Form